文章摘要
靳亚鲁,方诚冰,薛娜,殷翠萍,张杨.PNF技术结合立位下健肢抗阻迈步训练对脑卒中偏瘫患者步行功能的影响[J].中国康复,2018,33(1):11-14
PNF技术结合立位下健肢抗阻迈步训练对脑卒中偏瘫患者步行功能的影响
Effects of PNF technique combined with the healthy limb step resistance training in standing position on walking function of stroke patients with hemiplegia
  
DOI:
中文关键词: 脑卒中  偏瘫  本体感觉神经肌肉促进技术  健肢抗阻  步行
英文关键词: stroke  hemiplegia  proprioceptive neuromuscular facilitation  healthy limb resistance  walking
基金项目:国家自然科学基金(NO.81472159)
作者单位
靳亚鲁 山东大学齐鲁医院济南 250100 
方诚冰 山东大学齐鲁医院济南 250100 
薛娜 山东大学齐鲁医院济南 250100 
殷翠萍 山东大学齐鲁医院济南 250100 
张杨 山东大学齐鲁医院济南 250100 
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中文摘要:
      目的:探讨本体感觉神经肌肉促进(PNF)技术结合立位下健肢抗阻迈步对脑卒中偏瘫患者步行功能的影响。方法:60例脑卒中偏瘫患者随机分成治疗组和对照组各30例。2组均接受常规康复训练,观察组增加PNF技术结合立位下健肢抗阻迈步训练。治疗前后分别采用下肢Fugly-Meyer评定(FMA)、计时起立-行走测试(TUGT)、Holden步行功能分级(FAC)、Berg平衡量表(BBS)进行评定。结果:治疗8周后,2组FMA、FAC、BBS评分均较治疗前明显提高(P<0.05,0.01),观察组上述指标均高于对照组(P<0.05,0.01)。治疗后,2组TUGT均较治疗前明显降低(P<0.05,0.01),且观察组低于对照组(P<0.01)。结论:PNF技术结合立位下健肢抗阻迈步训练对偏瘫患者可更好地改善步行功能。
英文摘要:
      Objective: To investigate the effect of proprioceptive neuromuscular facilitation (PNF) technique combined with the healthy limb step resistance training in standing position on walking function of stroke patients with hemiplegia. Method: Sixty cases of stroke were randomly divided into treatment group and control group (n=30 in each group). Routine rehabilitation exercises were performed in both groups, while additional PNF technique combined with the healthy limb step resistance training was used in the treatment group. Before and after treatments, patients were assessed with Fugly-Meyer Assessment (FMA) of lower limbs, Timed Up and Go Test (TUGT), Holden walking function classification (FAC) and Berg balance scale (BBS). Results: After treatment for 8 weeks, the FMA, FAC and BBS scores were significantly increased in both groups as compared with those before treatment (P<0.05, 0.01). As compared with the control group, those scores above were significantly increased in the treatment group (P<0.05, 0.01). TUGT score was decreased in both groups after treatment (P<0.05, 0.01), and that in the treatment group was significantly lower (P<0.01). Conclusion: PNF technique combined with the healthy limb step resistance training in standing position has a better effect on walking function in stroke patients with hemiplegia.
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