下肢肌腹电针联合PNF技术对脑卒中偏瘫患者膝过伸的影响OACSTPCD
Effect of Lower Limb Abdominal Electroacupuncture Combined with PNF Technique on Knee Hyperextension in Stroke Patients with Hemiplegia
目的:观察下肢肌腹电针联合PNF技术治疗脑卒中偏瘫患者膝过伸的临床疗效.方法:脑卒中伴有膝过伸障碍的80例患者随机分成电针组(26例)、PNF组(27例)、联合组(27例).3组患者均给予脑卒中基础治疗,电针组另予下肢肌腹电针治疗,PNF组另予PNF技术治疗,联合组给予下肢肌腹电针联合PNF技术治疗,共治疗4周.于治疗前、治疗4周后采用最大速度行走50 m时膝过伸次数、Loudon膝过伸有效率评定膝过伸;采用下肢Fugl-Meyer运动功能评分(FMA-LE)评分、起立-行走计时测试(TUGT)、步行功能分级(FAC)评定运动功能和行走功能;采用Berg平衡量表(BBS)评定平衡功能.结果:治疗4周后,3组患者FMA-LE、FAC、BBS评分较治疗前均提高(P＜0.05),最大速度行走50 m时膝过伸次数及TUGT所用时间较治疗前均减少(P＜0.05),且联合组治疗效果明显优于其余两组(P＜0.05),电针组和PNF组比较差异无统计学意义(P＞0.05),此外,联合组Loudon膝过伸有效率明显高于单一电针组和PNF组(P＜0.05).结论:下肢肌腹电针和PNF技术均可在一定程度上改善脑卒中偏瘫患者膝过伸障碍,二者联合治疗脑卒中偏瘫患者膝过伸障碍效果显著,可有效改善患者的下肢运动功能,提高膝关节稳定性及整体步行功能.
Objective:To observe the clinical effect of lower limb muscle abdominal electroacupuncture combined with PNF in the treatment of hyperextension of knee in patients with hemiplegia after stroke.Methods:Total 80 patients with cerebral apoplexy accompanied by knee hyperextension disorder were randomly divided into electroacupuncture group(26 cases),PNF group(27 cases),combined group(27 cases).Patients in the 3 groups were given basic treatment for stroke,the electroacupuncture group was added lower limb abdominal electroacupuncture treatment,the PNF group was added PNF technology treatment,the combination group was given lower limb abdominal electroacupuncture combined with PNF technology treatment,a total of 4 weeks.The frequency of knee hyperextension when walking 50 meters at maximum speed and the effective rate of Loudon's knee hyperextension were evaluated before treatment and 4 weeks after treatment.Lower extremity Fugl-Meyer Motor Function score(FMA-LE),standing up and walking timing test(TUGT)and walking function grade(FAC)were used to evaluate motor function and walking function.Berg Balance Scale(BBS)was used to evaluate the balance function.Results:After 4 weeks of treatment,the scores of FMA-LE,FAC and BBS in 3 groups were significantly increased compared with before treatment(P＜0.05),the number of knee hyperextension and the time of TUGT used in walking at the maximum speed of 50 meters were decreased compared with before treatment(P＜0.05),and the therapeutic effect of the combined group was significantly better than that of the other two groups(P＜0.05).There was no significant difference between electroacupuncture group and PNF group(P＞0.05).In addition,the effective rate of Loudon knee hyperextension in combination group was significantly higher than that in electroacupuncture group and PNF group(P＜0.05).Conclusion:Both lower limb abdominal electroacupuncture and PNF can improve knee hyperextension disorder in stroke patients with hemiplegia to a certain extent,and the combined treatment of knee hyperextension disorder in stroke patients with hemiplegia has significant effects,which can effectively improve the lower limb motor function,knee stability and overall walking function.
张思鈺;王永春;任慧;魏衍旭;李映彩;陈怡婷;陈斌;冷军
山东中医药大学康复医学院 济南 250014山东中医药大学第二附属医院康复医学科 济南 250001福建中医药大学附属人民医院康复医学科 福州 350004
临床医学
脑卒中膝过伸电针PNF技术临床疗效
strokehyperextension of kneeelectric needlePNF technologyclinical effect
《神经损伤与功能重建》 2024 (001)
17-20,58 / 5
国家中医药管理局科研基金(中风病中医康复结局评价研究,No.JDZX201915);山东省中医药科技发展计划项目(任脉灸治疗脑卒中后非认知功能障碍性尿失禁的临床研究,No.2019-0247)
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