中医康复2024，Vol.1Issue(3)：16-20,5.DOI:10.19787/j.issn.2097-3128.2024.03.004
DNS核心稳定训练结合局部针刺运动对脑卒中后偏瘫患者步行及姿势控制能力的影响
Effects of Core Stability Training Based on DNS Technology Combined with Local Acupuncture Kinetotherapy on Walking Ability and Posture Control Ability in Patients with Hemiplegia after Stroke
摘要
Abstract
Objective:To explore the effect of core stability training based on Dynamic Neuromuscular Stabilization(DNS)combined with local acu-puncture kinetotherapy on walking and posture control ability in patients with hemiplegia after stroke.Methods:A total of 90 stroke patients who were treated in Chenzhou First People's Hospital from September 2021 to March 2022 were selected and divided into control group(n=45)and obser-vation group(n=45)according to the random number table.The control group was treated with routine rehabilitation,and the observation group was added with core stability training based on DNS technology and local acupuncture kinetotherapy on the basis of the control group.After 8 weeks of treatment,the gait spatio-temporal parameters of step length,step speed and step frequency were compared between the two groups before and after treatment.In the gait time phase parameters,the percentage of double support phase in gait cycle,the percentage of single support phase on the af-fected side in gait cycle,and the walking cycle parameters;posture assessment of stoke scale(PASS)for stroke patients;Tinnetti(Performance-Oriented Assessment of Mobility)scale and Fugl-Meyer lower limb motor function assessment(FMA-LE)score.Results:After treatment,the step length,step speed and step frequency parameters,the percentage of double support phase in gait cycle,the percentage of single support phase in gait cycle,the score of Tinnetti scale,PASS scale and FMA-LE scale in the two groups were significantly higher than those before treatment(P<0.05).The walking period was significantly lower than that before treatment(P<0.05).After treatment,the parameters of step length,step speed and step frequency,the percentage of double support phase in gait cycle,the percentage of single support phase on the affected side in gait cycle,the PASS score for stroke patients,the Tinnetti scale score and FMA-LE score were significantly higher than those of the control group(P<0.05),and the walk-ing cycle after treatment was lower than that of the control group(P<0.05).Conclusion:The core stability training based on DNS technology com-bined with local acupuncture kinetotherapy can increase the ability of core muscles and posture control,improving the function of walking.关键词
脑卒中/偏瘫/动态神经肌肉稳定技术(DNS)/核心稳定训练/针刺运动疗法/步行能力/姿势控制Key words
stroke/hemiplegia/Dynamic Neuromuscular Stabilization(DNS)/core stability training/acupuncture kinetotherapy/walking ability/posture control分类
医药卫生引用本文复制引用
曾丽蓉,周璐,刘兆平,胡金鲁,曾雅琪,陈菁..DNS核心稳定训练结合局部针刺运动对脑卒中后偏瘫患者步行及姿势控制能力的影响[J].中医康复,2024,1(3):16-20,5.基金项目
湘南学院校级科研项目,编号:2021XJ165 （）
郴州市第一人民医院院内科研课题,编号:N2021-04 （）
郴州市科学技术局科技发展计划项目,编号:ZDYF2020027 （）
