文章摘要
金振华,陈玲,叶祥明,刘勇.全身低频渐进振动联合运动治疗对卒中患者下肢肌张力与步行能力的作用[J].中国康复,2019,34(6):283-286
全身低频渐进振动联合运动治疗对卒中患者下肢肌张力与步行能力的作用
Effect of lowfrequency progressive whole body vibration to spasticity of hemiplegic lower limb and walking ability in stroke patients
  
DOI:
中文关键词: 振动  运动治疗  卒中  肌张力  步行
英文关键词: vibration  physical therapy  stroke  muscle tone  walking ability
基金项目:
作者单位
金振华 浙江省人民医院杭州医学院附属人民医院杭州 310014 
陈玲 浙江省人民医院杭州医学院附属人民医院杭州 310014 
叶祥明 浙江省人民医院杭州医学院附属人民医院杭州 310014 
刘勇 浙江省人民医院杭州医学院附属人民医院杭州 310014 
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中文摘要:
      目的:探究全身低频渐进振动联合运动治疗对卒中患者下肢肌张力与步行能力的作用。方法:选取符合入选标准的脑卒中患者67例,编号后随机分为对照组34例和观察组33例。2组均给予常规康复治疗,观察组在此基础上给予全身低频渐进振动联合运动治疗。治疗前后采用改良Ashworth分级(MAS)、表面肌电信号(sEMG)、10m步行试验和功能性步行量表(FAC)进行评定。结果:治疗6周后,2组股四头肌、小腿三头肌MAS评级、RMS均值、10m步行时间均较治疗前明显降低(P<0.01,0.05),且观察组更低于对照组(P<0.05,0.01)。治疗后,2组FAC评级均较治疗前明显提高(均P<0.01),且观察组更高于对照组(P<0.05)。结论:全身低频渐进振动联合运动治疗能改善卒中患者下肢肌张力,提升步行能力。
英文摘要:
      Objective: To explore the effect of lowfrequency progressive body vibration to spasticity of hemiplegic lower limb and walking ability in stroke patients. Methods: Sixty seven stroke patients were selected following standards, and randomly divided into control group (CG, n=34) and experimental group (EG, n=33). Conventional rehabilitation was implemented to both groups while CG accepted physical therapy and EG accepted progressive whole body vibration combined with physical therapy. Modified Ashworth Scale (MAS), surface electromyography (sEMG), 10 meter walking test, and Functional Ambulation category Scale (FAC) were used before and after treatments. Results: Before and after treatment for 6 weeks, MAS and sEMG evaluations of hemiplegic quadriceps and shin muscle groups, 10 meters walking test and FAC showed significant differences in both groups (P<0.05), and there was significant difference between two groups after treatment (P<0.05). Conclusion: The lowfrequency progressive whole body vibration can reduce the spasticity of hemiplegic lower limb, and improve walking ability in stroke patients.
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