综合应用神经发育疗法对脑卒中病人运动功能的影响

发布时间：2018-03-20 20:23

本文选题：脑卒中　切入点：康复治疗　出处：《中西医结合心脑血管病杂志》2016年22期 　论文类型：期刊论文

【摘要】：目的探讨综合应用神经发育疗法的康复治疗对脑卒中病人运动功能的影响。方法将98例恢复期脑卒中病人随机分为康复组(50例)和对照组(48例),两组接受相同药物治疗。其中康复组,以Bobath法为主,配合Brunnstrom法、本体感觉神经肌肉促通法(PNF)的综合康复运动治疗,采用改良Barthel(MBI)指数对日常活动能力(ADL)进行评定、应用Fugl-Meyer(FMA)评分,Brunnstrom分级评定运动功能。结果康复治疗4周后与治疗前相比,康复组和对照组MBI评分、FMA评分均显著提高,Brunnstrom分级显著改善,差异有统计学意义(P0.05)。并且康复治疗4周后,康复组与对照组相比,MBI评分、FMA评分均显著提高,Brunnstrom分级显著改善,差异有统计学意义(P0.05)。结论综合应用神经发育疗法能够显著改善脑卒中病人ADL及运动功能,康复运动治疗有助于促进脑卒中病人肢体运动功能的恢复,提高生活质量,改善临床预后。
[Abstract]:Objective to explore the effect of comprehensive neurodevelopmental therapy on motor function of stroke patients. Methods 98 patients with convalescent stroke were randomly divided into rehabilitation group (n = 50) and control group (n = 48). Physical therapy. Among them, rehabilitation group, The comprehensive rehabilitation motor therapy with Bobath method, combined with Brunnstrom method and proprioceptive neuromuscular facilitation method, was used to evaluate ADL by modified Barthelmi index. Results after 4 weeks of rehabilitation treatment, the MBI scores of rehabilitation group and control group were significantly improved compared with those before treatment, and the difference was statistically significant (P 0.05). Compared with the control group, the scores of ADL and motor function in the rehabilitation group were significantly improved, and the difference was statistically significant (P 0.05). Conclusion the comprehensive application of neurodevelopmental therapy can significantly improve the ADL and motor function of stroke patients. Rehabilitation exercise therapy can promote the recovery of limb motor function, improve the quality of life and improve the clinical prognosis of stroke patients.
【作者单位】：山西省大同市第五人民医院;
【分类号】：R743.3

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