| 李威,李丹,周蜜娟,赵宜莲,胥慧敏.本体感觉神经肌肉促进技术联合呼吸训练对Pusher综合征患者平衡功能和下肢运动功能的影响[J].中国康复,2025,40(7):393-397 |
| 本体感觉神经肌肉促进技术联合呼吸训练对Pusher综合征患者平衡功能和下肢运动功能的影响 |
| Effect of proprioceptive neuromuscular facilitation technique combined with respiratory training on balance function and lower extremity motor function in patients with Pusher syndrome |
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| DOI：10.3870/zgkf.2025.07.002 |
| 中文关键词: 本体感觉神经肌肉促进技术 呼吸训练 脑卒中 Pusher综合征 平衡功能 下肢运动功能 |
| 英文关键词: proprioceptive neuromuscular facilitation technique respiratory training stroke Pusher syndro-me balance function lower extremity motor function |
| 基金项目:四川省卫生健康委员会科技项目（24WSXT111） |
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| 中文摘要: |
| 目的：观察本体感觉神经肌肉促进技术（PNF技术）联合呼吸训练对Pusher综合征患者平衡功能和下肢运动功能的影响。方法：将75例Pusher综合征患者随机分为常规组、PNF组和联合组各25例，共有4例因未能按研究方案完成治疗而脱落，最终常规组和PNF组各24例、联合组23例纳入研究。常规组给予常规康复训练，PNF组在常规康复训练基础上给予PNF技术训练，联合组在常规康复训练基础上给予PNF技术联合呼吸训练。治疗前和治疗6周后采用Burke倾斜量表（BLS）、Berg平衡功能量表（BBS）、Fugl-Meyer运动评分量表中下肢部分（FMA-LE）和改良Barthel指数（MBI）分别评估患者的姿势倾斜程度、平衡功能、下肢运动功能和日常生活活动能力（ADL）。结果：治疗6周后，3组患者BLS评分均低于治疗前（P<0.01），且联合组低于PNF组和常规组（P<0.01），PNF组低于常规组（P<0.01）；3组患者BBS、FMA-LE和MBI均高于治疗前（P<0.01），且联合组高于PNF组和常规组（P<0.01），PNF组高于常规组（P<0.05）。结论：PNF技术联合呼吸训练能改善Pusher综合征患者身体倾斜症状和平衡功能，提高下肢运动功能和日常生活活动能力，促进患者的康复。 |
| 英文摘要: |
| Objective: To observe the effect of proprioceptive neuromuscular facilitation technique (PNF) combined with respiratory training on balance function and lower extremity motor function in patients with Pusher syndrome. Methods: Totally, 75 patients with Pusher syndrome were randomly divided into convention group (n=25), PNF group (n=25) and combination group (n=25). A total of 4 cases dropped down due to failure to complete treatment according to the study protocol. Finally, 24 cases in the conventional group, 24 cases in the PNF group, and 23 cases in the combination group were included in the study. The convention group was given conventional rehabilitation treatment, the PNF group received PNF additionally, and the combination group received PNF combined with respiratory training additionally. Burke lateropulsion scale (BLS), Berg balance scale (BBS), Fugl-Meyer motor assessment (FMA-LE) and modified Barthel index (MBI) were used to evaluate the patient’s tilt degree of posture, balance function, lower extremity motor function and activities of daily living (ADL) at the beginning and at the end of the 6th week of treatment course respectively. Results: BLS scores decreased in all groups 6 weeks after treatment compared with pre-treatment (P<0.01), and those in the combination group were lower than in the PNF group and convention group (P<0.01), and those in the PNF group were lower than in the convention group (P<0.01). BBS, FMA-LE and MBI were improved in all groups after treatment compared with pre-treatment (P<0.01), those in the combination group were higher than in the PNF group and convention group (P<0.01), and those in the PNF group were higher than in the convention group (P<0.05). Conclusion: PNF combined with respiratory training in the treatment of patients with Pusher syndrome can improve the body tilt symptoms and balance function, improve the motor function of lower extremity and activities of daily living, promoting the recovery of patients. |
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