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基于Brunnstrom不同分期的循经推拿方法对脑卒中恢复期患者下肢功能的影响

许健 黄秀清 周纯 张其乐 杨杰 黄丽

中国现代医生2019,Vol.57Issue(10):34-37,4.
中国现代医生2019,Vol.57Issue(10):34-37,4.

基于Brunnstrom不同分期的循经推拿方法对脑卒中恢复期患者下肢功能的影响

Effects of massage along meridians based on different stages of Brunnstrom on lower extremity function in patients with convalescent stroke

许健 1黄秀清 1周纯 1张其乐 1杨杰 1黄丽1

作者信息

  • 1. 浙江省衢州市人民医院康复医学科,浙江衢州 324000
  • 折叠

摘要

Abstract

Objective To observe the effects of massage along meridians based on different stages of Brunnstrom on lower extremity function in patients with convalescent stroke. Methods Ninety patients with convalescent stroke and lower limb dysfunction who were hospitalized in our hospital's brain center from September 2016 to August 2018 were selected. They were randomly assigned to an observation group of 45 patients and a control group of 45 patients. Both groups were given basic rehabilitation therapy. The control group was given conventional exercise therapy, and the observation group was given additional massage based on different stages of Brunnstrom. The two groups were treated for6 weeks, and the FMA-L, MAS and BBS scores before and after treatment were evaluated. Results There were no significant differences in FMA-L, MAS and BBS scores between the two groups (P>0.05). After 6 weeks of treatment, the FMA-L and BBS scores of the two groups were significantly higher than the pre-treatment scores, while the MAS scores were lower than the pre-treatment scores (P<0.05 or P<0.01). Compared with the control group, the improvement of FMA-L and BBS scores and the reduction of MAS score in the observation group was more significant (P<0.05 or P<0.01). Conclusion On the basis of conventional treatment methods, the application of massage therapy based on different stages of Brunnstrom is more helpful to improve the balance function of patients during stroke recovery, reduce muscle tension of lower limbs and to improve functional activities of lower limbs.

关键词

Brunnstrom分期/循经推拿/脑卒中/下肢瘫/痉挛/康复/随机

Key words

Brunnstrom staging/Massage along meridians/Stroke/Lower limb paralysis/Hernia/Rehabilitation/Random

分类

医药卫生

引用本文复制引用

许健,黄秀清,周纯,张其乐,杨杰,黄丽..基于Brunnstrom不同分期的循经推拿方法对脑卒中恢复期患者下肢功能的影响[J].中国现代医生,2019,57(10):34-37,4.

基金项目

浙江省中医药科技计划项目(2019ZT003) (2019ZT003)

浙江省衢州市市级科技计划指导性项目(20172003) (20172003)

中国现代医生

1673-9701

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