摘要
目的探索自身诱导法结合中国传统康复治疗方法头针在脑卒中偏瘫患者康复中的作用。方法将60例脑卒中偏瘫患者随机分为治疗组和对照组进行研究。在治疗过程中,治疗组采用头针结合自身诱导法进行手功能训练,对照组只运用自身诱导法进行手功能训练,2组治疗前后均采用Fugl-Meyer运动量表(FMA)评估患侧上肢及手的运动功能,用改良Barthel指数量表(MBI)评估日常生活能力,采用表面肌电信图(sEMG)评估肱二头肌、肱三头肌肌力。结果治疗后,治疗组肱二头肌肌力评估、肱三头肌肌力评估优于对照组,治疗组上肢及手功能的运动功能及日常生活活动能力评估优于对照组,差异均有统计学意义(P<0.05)。结论自身诱导法的训练方法结合头针对脑卒中偏瘫患者康复优于只进行自身诱导法单一的训练方法。
Objective To explore the effect of traditional self-induced method combined with Chinese scalp acupuncture in rehabilitation of hemiplegic patients after stroke.Methods 60 cases with hemiplegia after stroke were randomized into a treatment group and a control group.During the treatment,treatment group treated with traditional Chinese scalp acupuncture combined with self-induce method for hand function training,while control group were only treated with self-induce method.In two groups before and after treatment,Fugl-Meyer motor assessment(FMA)was used to assess the motor function of upper limbs and hand in affected side.The Modified Barthel index(MBI)was used to assess activities of daily life function;the surface electromyography(sEMG)was used to assess muscle tension and muscle strength of the biceps and triceps.Results The muscle tension and muscle strength of biceps and triceps had no significant difference in treatment group and control group before and after treatment(P>0.05),while the motor function of upper limbs and hand in two groups had significant difference(P<0.05).Conclusion The effect of self-induced method combined with scalp acupuncture in the rehabilitation of hemiplegic patients after stroke were better than those of single self-induce method.
作者
张裴景
孙伟娟
吴明莉
郭健
张朝阳
薛洋
任亚锋
ZHANG Peijing;SUN Weijuan;WU Mingli;GUO Jian;ZHANG Chaoyang;XUE Yang;REN Yafeng(Rehabilitation Center,the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Henan Province,Zhengzhou 450000,China)
出处
《中国中医药现代远程教育》
2018年第22期135-137,共3页
Chinese Medicine Modern Distance Education of China
基金
河南省中医临床学科领军人才培育计划资助项目【No.210020】
河南省中医药科学研究专项课题【No.2017JDZX027】
关键词
头针
自身诱导法
脑卒中
手功能
日常生活能力
中风
self-induced method
scalp acupuncture
stroke
functional of upper limbs and hands
activity of daily life
cerebral apoplexy
