文章摘要
刘珏,朱玉连,杜亮,朱秉,徐一鸣,田茹锦.PNF技术躯干模式强化训练对早期脑卒中偏瘫患者功能恢复的影响[J].中国康复,2018,33(3):184-187
PNF技术躯干模式强化训练对早期脑卒中偏瘫患者功能恢复的影响
Effect of strengthening trunk mode PNF training on function recovery in patients with early ischemic stroke
  
DOI:
中文关键词: 脑卒中  PNF技术  躯干模式  强化训练
英文关键词: stroke  PNF technique  trunk mode  strengthening training
基金项目:上海市科学技术委员会科研计划项目资助(15441901702)
作者单位
刘珏 复旦大学附属华山医院康复医学科上海 200040 
朱玉连 复旦大学附属华山医院康复医学科上海 200040 
杜亮 复旦大学附属华山医院康复医学科上海 200040 
朱秉 复旦大学附属华山医院康复医学科上海 200040 
徐一鸣 复旦大学附属华山医院康复医学科上海 200040 
田茹锦 上海体育学院运动科学学院上海 200438 
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中文摘要:
  目的:探讨PNF技术躯干模式强化训练对早期脑卒中患者躯干活动能力、上下肢运动功能及日常生活活动能力的影响。方法:42例早期脑卒中偏瘫患者随机分成对照组(常规训练组)和观察组(躯干强化训练组)。对照组采用综合性规范化康复治疗方法,观察组采用以综合性规范化康复治疗结合PNF技术躯干模式强化训练。2组患者在治疗前后进行躯干损伤量表(TIS)、Fugl-Meyer运动功能评分(FMA)和日常生活活动能力Barthel指数(BI)的评估。结果:治疗4周后,2组患者TIS、FMA上下肢运动功能及BI评分均较治疗前明显提高(P<0.01),观察组TIS、FMA下肢、BI评分均高于对照组(P<0.05,P<0.01),FMA上肢运动功能评分2组间差异无统计学意义。结论:PNF技术躯干模式强化训练能促进早期脑卒中患者躯干活动能力、下肢的运动功能及日常生活活动能力的提高,尤其对下肢运动功能的提升具有显著的效果。
英文摘要:
  Objective: To explore the effect of the strengthening trunk mode PNF training on motor function of trunk and limbs, and ability of daily life in hemiplegia patients with early ischemic stroke. Methods: Forty-two hemiplegia patients in acute stage of stroke were divided into the control group (conventional training group) and the experimental group (strengthening trunk mode training group) randomly. Both groups underwent integrated standardized rehabilitation treatment, and the experimental group received strengthening trunk mode PNF training additionally. Trunk Impairment Scale (TIS), Fugl-Meyer Assessment Upper Limb (FMA-UL), Fugl-Meyer Assessment Lower Limb (FMA-LL) and Barthel Index (BI) were evaluated before and after the treatment. Results: The scores of TIS, FMA and BI in both groups were improved after treatment (P<0.01). The scores of TIS, FMA-LL and BI in the experimental group were higher than those in the control group (P<0.05, P<0.01) after treatment. There was no significant differences in FMA-UL between two groups after the treatments. Conclusion: The strengthening trunk mode PNF training can promote the motor function of trunk and limbs especially the lower limb, and improve the ability of daily life in hemiplegia patients with early ischemic stroke.
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