摘要
目的探讨悬吊运动疗法(SET)在脑卒中偏瘫并膝关节反张患者中的应用效果。方法选取2016年4月—2019年3月新疆医科大学第一附属医院收治的脑卒中偏瘫并膝关节反张患者90例,采用随机数字表法分为对照组和观察组,每组45例。对照组患者接受常规康复训练,观察组患者在对照组基础上采用SET;两组患者均持续干预4周。比较两组患者干预前后膝过伸次数、Berg平衡量表(BBS)评分、Fugl-Meyer运动功能评定量表(FMA)下肢功能评分、10 m步行时间,干预前及干预2、4周后患侧腓肠肌、股直肌、股二头肌积分肌电值(iEMG),干预后步行功能改善效果。结果 (1)两组患者干预前膝过伸次数、BBS评分、FMA下肢功能评分、10 m步行时间比较,差异无统计学意义(P>0.05);观察组患者干预后膝过伸次数少于对照组,BBS评分、FMA下肢功能评分高于对照组,10 m步行时间短于对照组(P<0.05)。(2)时间与方法在患侧腓肠肌、股直肌、股二头肌iEMG上存在交互作用(P<0.05);时间、方法在患侧腓肠肌、股直肌、股二头肌iEMG上主效应均显著(P<0.05)。观察组患者干预2、4周后患侧腓肠肌、患侧股直肌、患侧股二头肌iEMG高于对照组(P<0.05)。(3)观察组患者干预后步行功能改善效果优于对照组(P<0.05)。结论 SET可有效减轻脑卒中偏瘫并膝关节反张患者膝关节反张症状,改善患者肢体平衡能力、下肢运动功能及步行功能,增强患者下肢关键肌肉肌力。
Objective To explore the application effect of sling exercise therapy(SET)in stroke-induced hemiplegia patients complicated with genu recurvatum. Methods From April 2016 to March 2019,a total of 90 strokehemiplegia patients complicated with genu recurvatum were selected in the First Affiliated Hospital of Xinjiang Medical University,and they were divided into control group and observation group according to random number table method,with 45 cases in each group. Patients in control group received routine rehabilitation training,while patients in observation group received SET based on that of control group;patients in the two groups were continuously intervened for 4 weeks. Number of knee overstretches,BBS score,FMA lower limb function score and elapsed time for 10-meter walking before and after intervention,iEMG of affected gastrocnemius muscle,rectus femoris and biceps femoris muscle before intervention,2 and 4 weeks after intervention,as well as improvement effect of walking function after intervention were compared between the two groups. Results (1)There was no statistically significant difference in number of knee overstretches,BBS score,FMA lower limb function score or elapsed time for 10-meter walking between the two groups before intervention(P>0.05);number of knee overstretches in observation group was statistically significantly less than that in control group after intervention,BBS score and FMA lower limb function score in observation group were statistically significantly higher than those in control group,moreover elapsed time for 10-meter walking in observation group was statistically significantly shorter than that in control group(P<0.05).(2)There was statistically significant interaction between time and method in iEMG of affected gastrocnemius muscle,rectus femoris and biceps femoris muscle(P<0.05);main effects of time and method were statistically significant in iEMG of affected gastrocnemius muscle,rectus femoris and biceps femoris muscle(P<0.05).Compared with that in control group,iEMG of a
作者
严会荣
巴努·巴克尔
许多红
卢艳丽
YAN Huirong;BARNU·Barker;XU Duohong;LU Yanli(Department of Rehabilitation Medicine,the First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China;Department of Orthopedics,Xinjiang Urumqi Traditional Chinese Medicine Hospital,Urumqi 830054,China;Department of Rehabilitation Medicine,Affiliated Hospital of Inner Mongolia Medical University,Hohhot 010059,China)
出处
《实用心脑肺血管病杂志》
2020年第1期102-106,共5页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
基金
新疆维吾尔自治区自然科学基金资助项目(2017D01C307).
关键词
卒中
偏瘫
膝关节反张
悬吊运动疗法
Stroke
Hemiplegic
Genu recurvatum
Sling exercise therapy
