针灸联合运动康复训练治疗脑卒中恢复期足下垂的效果

发布时间：2018-04-20 01:18

本文选题：脑卒中 + 足下垂　；参考：《中国老年学杂志》2017年12期

【摘要】：目的探讨针灸联合运动康复训练治疗脑卒中恢复期足下垂的效果和步态改善结局。方法选取128例脑卒中恢复期足下垂者,随机分为观察组和对照组各64例,对照组采用运动康复训练,观察组加用针灸,4 w 1个疗程,治疗3~4个疗程;比较两组治疗效果、治疗前后FuglMeyer下肢运动功能、主动关节活动度(AROM)、小腿三角肌痉挛、三维步态(空间参数、时间参数)、胫前肌表面肌电(均方根值、肌电积分值、平均肌电值和协同收缩率)。结果观察组治疗总有效率为85.94%,高于对照组的67.19%(P0.05);Fugl-Meyer评分、AROM水平高于对照组,MAS分级低于对照组(P0.05);各项时间、空间参数优于对照组(P0.05);肌电值水平优于对照组(P0.05)。结论针灸联合运动康复训练治疗脑卒中恢复期足下垂疗效确切、作用显著。
[Abstract]:Objective to investigate the effect and gait improvement of acupuncture combined with exercise rehabilitation training in the treatment of foot drooping in convalescent stroke. Methods 128 patients with foot drooping in convalescent period of stroke were randomly divided into observation group (n = 64) and control group (n = 64). The control group received exercise rehabilitation training, the observation group was treated with acupuncture and moxibustion for 4 weeks for 3 ~ 4 courses, and the therapeutic effects were compared between the two groups. Before and after treatment, FuglMeyer lower limb motor function, active joint motion, leg deltoid muscle spasm, three-dimensional gait (spatial parameter, time parameter), anterior tibial muscle surface electromyography (RMS, EMG integral value, mean myoelectric value and co-contraction rate). Results the total effective rate of treatment in the observation group was 85.94, which was higher than that in the control group (67.19) and the level of arom in Fugl-Meyer score was higher than that in the control group (P < 0.05), the spatial parameter was better than that in the control group (P 0.05), and the electromyography was better than that in the control group (P 0.05). Conclusion Acupuncture and moxibustion combined with exercise rehabilitation training are effective and effective in the treatment of foot drooping in convalescent stage of stroke.
【作者单位】：中山大学附属第五医院康复医学科;中山大学附属第五医院体检科;中山大学附属第五医院心电图室;
【分类号】：R743.3

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