Clinical Study of Muscle Fiber Segmental Precision Extension in Neurogenic Skeletal Muscle Disease
Objective To investigate the clinical effect of muscle fiber segmental precision extension treatment for neurogenic skeletal muscle disease.Methods A total of 80 patients with neurogenic skeletal muscle disease treated in Shantou Changping Rehabilitation Hospital from January 2022 to December 2023 were selected as the study objects,and were divided into basic treatment group and precision extension treatment group by random number table method,with they 40 cases in each group.The basic treatment group was subjected to conventional traction treatment,and the precision extension treatment group was subjected to muscle fiber segmental precision extension treatment.The score of modified Ashworth scale(MAS),Brunnstrom motor function assessment of hemiplegia,clinical spasticity index(CSI)score,pennation angle(PA),fascicle length(FL),muscular thickness(MT)and Gross Motor Function measure 88 scale(GMFM88)score were compared between the two groups.Results At 2 and 4 weeks after treatment,the scores of MAS in the precision extension treatment group were lower than those in the basic treatment group,and the differences were statistically significant(P<0.05).After treatment,Brunnstrom hemiplegic motor function evaluation of upper limb and hand in the precision extension treatment group were better than those in the basic treatment group,and the differences were statistically significant(P<0.05).After treatment,the CSI scores of muscle tone,clonus and tendon reflex in the precision extension treatment group were lower than those in the basic treatment group,and the differences were statistically significant(P<0.05).After treatment,PA and MT in the precision extension treatment group were lower than those in the basic treatment group,and FL was higher than that in the basic treatment group,the differences were statistically significant(P<0.05).After treatment,the GMFM88 score in the precision extension treatment group was higher than that in the basic treatment group,and the difference was statistically significant(P<0.05).Conclusion Neurogenic skeletal muscle disease muscle fiber segmental precision extension treatment can accelerate the staged exercise rehabilitation process of the upper limb and hand,promote the recovery of muscle structure and function,effectively improve the range of motion of the joint,and alleviate the degree of muscle spasm.
万方数据
维普
