摘要
目的:探讨康复训练结合A型肉毒毒素(BTX-A)注射对脑卒中后下肢肌痉挛患者肌张力、运动功能及步行能力的影响。方法:选择32例下肢伸肌痉挛,改良Ashworth痉挛量表(MAS)评定2~3级的脑卒中患者,随机分为综合组及对照组各16例。2组患者均对下肢痉挛肌群进行分点注射BTX-A。综合组在注射24 h后结合康复训练,包括神经发育技术、物理疗法及运动疗法等。2组治疗前后采用MAS评定下肢肌张力及Fugl-Meyer运动量表(FMA)评定下肢运动功能;并进行步速和步长测定。结果:BTX-A注射后1、6及12周时,2组患者MAS评分明显下降,FMA评分明显上升,步速和步长明显提高(均P<0.05)。2组间比较,综合组表现更明显(P<0.05)。结论:康复训练结合BTX-A注射可以显著降低脑卒中痉挛肢体的肌张力,提高运动功能和步行能力。
Objective: To investigate the effect of rehabilitation training combined with botulinum toxin A for patients with lower limb spasticity,movement dysfunction and disability to walk after stroke.Methods: Thirty-two patients with stroke were randomly divided into experimental group and control group,whose lower limb spasticity evaluated by Modified Ashworth Scale(MAS) was Ashworth level II-level III.The patients in experimental group received rehabilitation training combined with botulinum toxin A,and those in control group received injection of botulinum toxin A only.The patients in both two groups were separately subjected to the rehabilitation evaluation before,and 1st week,6th week and 12th week after the injection of botulinum toxin A.The evaluation of MAS,Fugl-Meyer(FMA) movement function assessment and gait analysis were done.Results: The scores of MAS in experimental group were lower,and the scores of FMA gait analysis were higher than in control group(P0.05).Conclusion: Rehabilitation training combined with botulinum toxin A can reduce the extent of spasticity,and improve the ability to movement function of patients with stroke.
出处
《中国康复》
2011年第2期93-95,共3页
Chinese Journal of Rehabilitation
关键词
康复训练
A型肉毒毒素
脑卒中
肌痉挛
rehabilitation training
botulinum toxin A
stroke
spasticity