首页|MOTOmed智能训练系统、减重步态训练联合中医治疗对卒中后偏瘫患者康复的影响

MOTOmed智能训练系统、减重步态训练联合中医治疗对卒中后偏瘫患者康复的影响

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目的 观察MOTOmed智能训练系统、减重步态训练结合中医治疗对卒中后偏瘫患者康复的效果.方法 将120 例卒中后偏瘫患者按照随机数字表法分为2 组,对照组60 例予MOTOmed智能训练系统、减重步态训练干预,治疗组60 例在对照组治疗基础上加中医治疗,2 组均治疗30 天.比较2 组治疗前后肌张力、肌电图指标、患肢周围神经电生理学指标、肢体运动功能评分、日常生活能力评分、步行功能及步态评分、生活质量评分变化.结果 治疗组治疗后肌张力水平优于对照组(P<0.05).2 组治疗后H波最大波幅(Hmax)、M波最大波幅(Mmax)、H波/M波最大波幅(H/Mmax)均较本组治疗前降低(P<0.05);治疗后治疗组Hmax、Mmax、H/Mmax均低于对照组(P<0.05).2 组治疗后腓总神经运动神经传导速度(MCV)、感觉神经传导速度(SCV)及胫神经MCV、SCV均较本组治疗前升高(P<0.05),治疗后治疗组腓总神经MCV、SCV及胫神经MCV、SCV均高于对照组(P<0.05).2 组治疗后肢体运动功能及日常生活能力评分均较本组治疗前升高(P<0.05),治疗后治疗组肢体运动功能及日常生活能力评分均高于对照组(P<0.05).2组治疗后步行功能及步态评分均较本组治疗前升高(P<0.05),治疗后治疗组步行功能及步态评分均高于对照组(P<0.05).2 组治疗后生活质量评分均较本组治疗前升高(P<0.05),且治疗组升高更明显(P<0.05).结论 MOTOmed智能训练系统、减重步态训练结合中医治疗能更好地提高卒中后偏瘫患者的肢体功能和日常生活能力,患者肌力、神经传导速度、平衡力、生活质量改善程度更高.
Application of MOTOmed intelligent training system and weight reduction gait training combined with traditional Chi-nese medicine management on individualized rehabilitation intervention of post-stroke hemiplegia patients
Objective To study the application effect of MOTomed intelligent training system,weight reduction gait training,and traditional Chinese medicine(TCM)management on individualized rehabilitation intervention of post-stroke hemi-plegia patients.Methods A total of 120 post-stroke hemiplegia patients were randomly divided into the control group(n =60)and the observation group(n =60).All patients received MOTomed functional training system and weight reduction gait training intervention,patients in the observation group additionally received TCM management.After 30-day treatment,the changes in muscle tension,electromyography index,electrophysiological index of limb peripheral nerve,and the scores of limb motor func-tion,activities of daily living(ADL),walking function and gait abnormality,and quality of life(QOL)scale before and after treatment were compared between groups.Results After interven-tion,the level of muscle tension in the observation group was sig-nificantly better than that in the control group(P<0.05).Patients in both groups presented significantly lower maximum ampli-tudes of H reflex and M wave responses reached(Hmax,Mmax),H wave to M wave(H/M)amplitude ratios in the two groups(P<0.05),significantly higher motor/sensory conduction velocity(MCV/SCV)of common peroneal nerve and tibial nerve(P<0.05),as well as the scores of limb motor function,ADL,and walking function and gait abnormality,QOL than those be-fore treatment(P<0.05),and the improvement in the observation group were more pronounced compared with the control group(P<0.05).Conclusion MOTOmed intelligent training system and weight reduction gait training combined with TCM manage-ment can better improve the limb function and daily living ability of post-stroke hemiplegia patients,with a higher degree of im-provement in muscle strength,nerve conduction velocity,balance,and quality of life.

StrokeHemiplegiaRehabilitation

段亚男、梁雪琴、潘芳芳、李娜、张香玉

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河北省沧州市人民医院康复医学科,河北 沧州 061000

河北省沧州市人民医院病案室,河北 沧州 061000

河北省沧州市人民医院门诊部,河北 沧州 061000

河北省沧州市人民医院神经内科,河北 沧州 061000

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卒中 偏瘫 康复

河北省沧州市重点研发计划指导项目

213106078

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(3)
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