中国康复2011,Vol.26Issue(2):93-95,3.DOI:10.3870/zgkf.2011.02.006
康复训练及A型肉毒毒素注射治疗脑卒中下肢肌痉挛
Rehabilitation Training Combined with Botulinum Toxin A for Patients with Lower Limb Spasticity after Stroke
李巍巍 1杨坚 1张颖 1乔蕾 1范利1
作者信息
- 1. 上海市徐汇区中心医院康复科,上海,200031
- 折叠
摘要
Abstract
Objective: To investigate the effect of rehabilitation training combined with botulinum toxin A for patients with lower limb spasticity, movement dysfunction and disability to walk after stroke. Methods: Thirty-two patients with stroke were randomly divided into experimental group and control group, whose lower limb spasticity evaluated by Modified Ashworth Scale (MAS) was Ashworth level Ⅱ-level Ⅲ. The patients in experimental group received rehabilitation training combined with botulinum toxin A, and those in control group received injection of botulinum toxin A only. The patients in both two groups were separately subjected to the rehabilitation evaluation before, and 1st week, 6th week and 12th week after the injection of botulinum toxin A. The evaluation of MAS,Fugl-Meyer (FMA) movement function assessment and gait analysis were done. Results: The scores of MAS in experimental group were lower, and the scores of FMA & gait analysis were higher than in control group (P<0.05).Conclusion: Rehabilitation training combined with botulinum toxin A can reduce the extent of spasticity, and improve the ability to movement function of patients with stroke.关键词
康复训练/A型肉毒毒素/脑卒中/肌痉挛Key words
rehabilitation training/ botulinum toxin A/ stroke/ spasticity分类
医药卫生引用本文复制引用
李巍巍,杨坚,张颖,乔蕾,范利..康复训练及A型肉毒毒素注射治疗脑卒中下肢肌痉挛[J].中国康复,2011,26(2):93-95,3.