首页|镜像疗法联合本体感觉神经肌肉促进技术对脑卒中偏瘫患者肢体功能恢复的影响

镜像疗法联合本体感觉神经肌肉促进技术对脑卒中偏瘫患者肢体功能恢复的影响

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目的 探究镜像疗法(MT)联合本体感觉神经肌肉促进技术(PNF)对脑卒中偏瘫患者肢体功能恢复的影响.方法 选取2022 年6 月至2023 年12 月收治的68 例脑卒中偏瘫患者,按治疗方法分为观察组36 例和对照组32 例.观察组给予PNF联合MT治疗,对照组接受PNF治疗,均治疗6 周.治疗后比较2 组疗效,以及2 组肢体功能[Fugl-Meyer运动功能评分量表(FMA)、运动功能状态量表(MSS)]、步行平衡能力[Berg平衡量表(BBS)、10m最大步行速度]、神经功能[美国国立卫生研究院卒中量表(NIHSS)]和日常生活活动能力[改良Barthel指数(MBI)、功能独立性测量(FIM)].结果 治疗后,观察组总有效率显著高于对照组(P<0.05);治疗后,观察组FMA-上肢、FMA-下肢、MSS、BBS、MBI、FIM评分和10m最大步行速度均高于对照组,NIHSS评分低于对照组(P<0.05).结论 MT联合PNF对脑卒中偏瘫患者肢体功能恢复具有显著效果,能有效提高患者肢体运动功能、平衡能力、神经功能及日常生活活动能力.
Effect of Image Therapy Combined with Proprioceptive Neuromuscular Promotion Technique on Limb Function Recovery in Stroke Patients with Hemiplegia
Objective To explore the effects of image therapy(MT)combined with proprioceptive neuromuscular fa-cilitation(PNF)on limb function recovery in stroke patients with hemiplegia.Methods 68 patients with hemiplegia were se-lected from June 2022 to December 2023 and divided into observation group(36 cases)and control group(32 cases)accord-ing to treatment methods.The observation group was treated with PNF combined with MT,and the control group was treated with PNF for 6 weeks.After treatment,the efficacy of the two groups was compared.Limb function[Fugl-Meyer Motor Func-tion Rating Scale(FMA),Motor Function State Scale(MSS)],walking balance ability[Berg Balance Scale(BBS),10 m Maximum walking speed],neurological function[National Institutes of Health Stroke Scale(NIHSS)],and activity of daily living[Modified Barthel Index(MBI),Functional Independence Measure(FIM)].Results After treatment,the total ef-fective rate of observation group was significantly higher than that of control group(P<0.05).After treatment,FMA-upper limb,FMA-lower limb,MSS,BBS,MBI,FIM scores and 10 m maximum walking speed in observation group were higher than those in control group,and NIHSS scores were lower than those in control group(P<0.05).Conclusion MT combined with PNF has a significant effect on the recovery of limb function in stroke patients with hemiplegia,and can effectively im-prove the limb motor function,balance ability,nerve function and the ability of daily living.

StrokeHemiplegiaImage therapyProprioceptive neuromuscular facilitation techniqueLimb function

许崇敬、卞荣

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235100 安徽濉溪,濉溪县医院康复科

210003 南京,江苏省人民医院康复医学科

脑卒中 偏瘫 镜像疗法 本体感觉神经肌肉促进技术 肢体功能

2024

转化医学杂志
海军总医院

转化医学杂志

CSTPCD
影响因子:0.671
ISSN:2095-3097
年,卷(期):2024.13(8)