中国康复2026，Vol.41Issue(5)：269-274,6.DOI:10.3870/zgkf.2026.05.003
体外冲击波疗法联合核心肌群训练对脑卒中后偏瘫患者康复效果的影响
Rehabilitation effect of extracorporeal shock wave therapy combined with core muscle training on post-stroke hemiplegia patients
摘要
Abstract
Objective:To observe the rehabilitation effect of extracorporeal shock wave therapy(ESWT)combined with core muscle training(CMT)on post-stroke hemiplegia(PSH)patients.Methods:All 159 PSH patients admit-ted to our hospital were randomly assigned into group A(53 cases,undergoing ESWT),group B(53 cases,under-going CMT),and group C(53 cases,undergoing ESWT combined with CMT)via a random number table.The motor function,balance ability and fall efficacy,walking ability,national institutes of health stroke scale(NIHSS),brain-derived neurotrophic factor(BDNF),amyloid beta(Aβ),and adverse events were compared.Results:After therapy,the scores of Fugl-Meyer assessment-upper limb(FMA-UE),FMA-lower limb(FMA-LE),Berg balance scale(BBS),modified fall efficacy scale(MFES),affected foot landing angle,step frequency,step speed,and BD-NF in group C were increased as compared with those in group A and group B(all P<0.05),and the NIHSS and Aβ levels in the group C were lower than those in the group A and group B(all P<0.05).There was no statistical-ly significant difference in all items between the group A and group B.There was no statistically significant differ-ence in the total incidence of adverse events among three groups.Conclusion:ESWT combined with CMT can im-prove motor function,balance ability,fall efficacy,walking ability,reduce NIHSS,regulate BDNF and Aβ in pa-tients with PSH,without increasing adverse events.关键词
体外冲击波疗法/核心肌群训练/脑卒中/偏瘫Key words
extracorporeal shock wave therapy/core muscle training/stroke/hemiplegia分类
医药卫生引用本文复制引用
弓蕊,何琳,白晓纯..体外冲击波疗法联合核心肌群训练对脑卒中后偏瘫患者康复效果的影响[J].中国康复,2026,41(5):269-274,6.基金项目
河北省医学科学研究项目(20261324) （20261324）
