文章摘要
施加加,孙莹,李周.神经松动术对偏瘫患者下肢运动功能的影响[J].中国康复,2013,28(1):20-22
神经松动术对偏瘫患者下肢运动功能的影响
Effects of nerve mobilization techniques on lower limb movement function in patients with hemiplegia
  
DOI:
中文关键词: 神经松动术  偏瘫  下肢运动功能
英文关键词: nerve mobilization techniques  hemiplegia  lower limb movement function
基金项目:
作者单位
施加加 昆山市康复医院康复科江苏 昆山 215300 
孙莹 昆山市康复医院康复科江苏 昆山 215300 
李周 昆山市康复医院康复科江苏 昆山 215300 
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中文摘要:
  目的:探讨神经松动术对偏瘫患者下肢运动功能的影响。方法:偏瘫患者随机40例,随机分为2组各20例,2组均给予常规药物对症治疗及常规康复训练,观察组加用下肢周围神经松动技术。治疗前后测定10m最大步行速度、患肢运动功能(FMA)及腘绳肌、胫前肌最大等长收缩时的肌电信号值(iEMG)。结果:治疗12周后,2组10m最大步行速度、FMA及腘绳肌、胫骨前肌iEMG均较治疗前明显提高(P<0.05),且观察组各项指标较对照组提高更明显(P<0.05)。结论:神经松动术对偏瘫患者下肢运动功能的恢复具有良好的效果。
英文摘要:
  Objective:To explore the effect of nerve mobilization techniques on lower limb movement function in patients with hemiplegia.Methods:Forty cases of patients with hemiplegia were randomly divided into two groups,20 patients in each group.Both groups were treated with conventional drugs and rehabilitation training,and observation group given peripheral nerve mobilization techniques of lower limb additionally.10-m maximum walking speed,lower limb Fugle-Meyer assessment (FMA) on the hemiplegia side,the hamstrings and tibialis anterior muscle maximum isometric contraction EMG signal values (iEMG) were measured before and after treatment.Results:After treatment for 12 weeks,10-m maximum walking speed,FMA scores,and the hamstrings and tibialis anterior muscle iMEG were obvioulsy increased in both groups as compared with pretreatment (P<0.05),more significantly in observation group than in control group (P<0.05).Conclusion:Nerve mobilization techniques can obtain more satisfactory effects in restoring lower limb movement function of patients with hemiplegia.
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