摘要
目的:观察神经肌肉本体感觉促进(PNF)技术联合肌内效贴对脑卒中患者上肢运动功能的影响。方法:选择2021年1月—2022年1月在安徽医科大学第一附属医院康复医学科住院的脑卒中患者67例,采用随机数字表法分为对照组、PNF组和联合组,每组分别22、22、23例,治疗过程中分别有2、2、3例患者脱落/中止,最终每组纳入20例。对照组接受常规物理因子治疗(20 min/次,2次/d,6 d/周)、偏瘫肢体综合训练(40 min/次,1次/d,5 d/周)和作业治疗(20 min/次,1次/d,5 d/周),持续治疗4周;PNF组在对照组基础上进行上肢PNF训练,其中偏瘫肢体综合训练20 min/次,PNF训练20 min/次,1次/d,5 d/周,持续治疗4周;联合组在PNF组基础上接受肌内效贴治疗,贴布每3 d更换1次,持续治疗4周。分别在治疗前、治疗4周后采用Fugl-Meyer运动功能评估量表(FMA)评估上肢运动功能;采用改良Ashworth分级量表(MAS)评估肌张力;采用表面肌电(sEMG)评估积分肌电值(iEMG)和协同收缩率(CR)。结果:①上肢运动功能:与治疗前比较,PNF组及联合组治疗后FMA评分均明显提高,差异具有统计学意义(P<0.05)。与对照组比较,PNF组及联合组治疗后FMA评分均明显更高,差异具有统计学意义(P<0.05)。与PNF组比较,联合组治疗后FMA评分明显更高,差异具有统计学意义(P<0.05)。②上肢肌张力:与治疗前比较,3组治疗后MAS评分差异均无统计学意义(P>0.05);与对照组比较,PNF组及联合组治疗后MAS评分差异均无统计学意义(P>0.05)。③表面肌电图:与治疗前比较,对照组治疗后CR明显降低(P<0.05);PNF组和联合组治疗后iEMG值、CR均明显降低,差异具有统计学意义(P<0.05)。与对照组比较,PNF组治疗后CR明显降低(P<0.05);联合组治疗后iEMG值、CR均明显降低,差异具有统计学意义(P<0.05)。与PNF组比较,联合组治疗后iEMG值明显降低,差异具有统计学意义(P<0.05)。结论:PNF技术联合肌内效贴可有效改善�
Objective:To observe the effect of proprioceptive neuromuscular facilitation(PNF)technique combined with kinesio taping on upper limb motor function of patients with stroke.Methods:A total of 67 stroke patients hospitalized in the department of rehabilitation medicine of the First Affiliated Hospital of Anhui Medical University from January 2021 to January 2022 were randomly divided into control group,PNF group and combined group,with 22,22,23 cases in each group.During the course of the treatment,2,2 and 3 cases dropped out or discontinued respectively.Finally,there were 20 cases included in each group.The control group received conventional physical modality therapy(20 min a time,twice a day,six times a week),comprehensive training of hemiplegic limbs(40 min a time,once a day,five times a week)and occupational therapy(20 min a time,once a day,five days a week),lasting for four weeks.The PNF group received upper limb PNF training on the basis of the control group,including 20 min comprehensive training of hemiplegic limbs and 20 min PNF training,once a day,five times a week,lasting for four weeks.The combined group received kinesio taping on the basis of the PNF group,and the taping was changed once every three days,lasting for four weeks.Before treatment and after treatment for four weeks,Fugl-Meyer motor assessment scale(FMA)was used to evaluate the upper limb motor function;modified Ashworth scale(MAS)was used to evaluate the muscle tone;surface electromyography(sEMG)was used to evaluate integrated electromyography(iEMG)and co-contraction ratio(CR).Results:(1)Upper limb motor function:Compared with that before treatment,FMA scores of the PNF group and the combined group increased significantly after treatment,and the differences were statistically significant(P<0.05).Compared with the control group,FMA scores of the PNF group and the combined group were significantly higher after treatment,and the differences were statistically significant(P<0.05).Compared with the PNF group,FMA score of the combined group wa
作者
徐雪迪
赵凯
陈岩
张阿康
高晓平
陈和木
XU Xuedi;ZHAO Kai;CHEN Yan;ZHANG Akang;GAO Xiaoping;CHEN Hemu(The First Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230022,China;Shandong Institute of Physical Education,Jinan,Shandong 250102,China;Anhui Medical University,Hefei,Anhui 230032,China)
出处
《康复学报》
CSCD
2023年第2期121-126,共6页
Rehabilitation Medicine
基金
国家自然科学基金项目(61771444)
2020年安徽省省级高等学校质量工程项目(2020SJJXSFK1370)。
关键词
脑卒中
上肢运动功能障碍
神经肌肉本体感觉促进技术
肌内效贴
痉挛
运动功能
表面肌电
stroke
upper limb motor dysfunction
proprioceptive neuromuscular facilitation technique
kinesio taping
spasm
motor function
surface electromyography
