摘要
目的 探究镜像疗法(MT)联合本体感觉神经肌肉促进技术(PNF)对脑卒中偏瘫患者肢体功能恢复的影响。方法 选取2022年6月至2023年12月收治的68例脑卒中偏瘫患者,按治疗方法分为观察组36例和对照组32例。观察组给予PNF联合MT治疗,对照组接受PNF治疗,均治疗6周。治疗后比较2组疗效,以及2组肢体功能[Fugl-Meyer运动功能评分量表(FMA)、运动功能状态量表(MSS)]、步行平衡能力[Berg平衡量表(BBS)、10 m最大步行速度]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]和日常生活活动能力[改良Barthel指数(MBI)、功能独立性测量(FIM)]。结果 治疗后,观察组总有效率显著高于对照组(P<0.05);治疗后,观察组FMA-上肢、FMA-下肢、MSS、BBS、MBI、FIM评分和10 m最大步行速度均高于对照组,NIHSS评分低于对照组(P<0.05)。结论 MT联合PNF对脑卒中偏瘫患者肢体功能恢复具有显著效果,能有效提高患者肢体运动功能、平衡能力、神经功能及日常生活活动能力。
Objective To explore the effects of image therapy(MT)combined with proprioceptive neuromuscular fa⁃cilitation(PNF)on limb function recovery in stroke patients with hemiplegia.Methods 68 patients with hemiplegia were se⁃lected from June 2022 to December 2023 and divided into observation group(36 cases)and control group(32 cases)accord⁃ing to treatment methods.The observation group was treated with PNF combined with MT,and the control group was treated with PNF for 6 weeks.After treatment,the efficacy of the two groups was compared.Limb function[Fugl⁃Meyer Motor Func⁃tion Rating Scale(FMA),Motor Function State Scale(MSS)],walking balance ability[Berg Balance Scale(BBS),10 m Maximum walking speed],neurological function[National Institutes of Health Stroke Scale(NIHSS)],and activity of daily living[Modified Barthel Index(MBI),Functional Independence Measure(FIM)].Results After treatment,the total ef⁃fective rate of observation group was significantly higher than that of control group(P<0.05).After treatment,FMA⁃upper limb,FMA⁃lower limb,MSS,BBS,MBI,FIM scores and 10 m maximum walking speed in observation group were higher than those in control group,and NIHSS scores were lower than those in control group(P<0.05).Conclusion MT combined with PNF has a significant effect on the recovery of limb function in stroke patients with hemiplegia,and can effectively im⁃prove the limb motor function,balance ability,nerve function and the ability of daily living.
作者
许崇敬
卞荣
XU Chongjing;BIAN Rong(Department of Rehabilitation,Suixi County Hospital,Huaibei,Anhui 235100,China;Department of Rehabilitation Med-icine,Jiangsu Provincial People's Hospital,Nanjing 210003,China)
出处
《转化医学杂志》
2024年第8期1199-1203,共5页
Translational Medicine Journal
关键词
脑卒中
偏瘫
镜像疗法
本体感觉神经肌肉促进技术
肢体功能
Stroke
Hemiplegia
Image therapy
Proprioceptive neuromuscular facilitation technique
Limb function
