渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响

发布时间：2018-11-17 19:03

【摘要】：目的:探讨一种渐进性全身振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响。方法:选择符合入组条件的患者30例,随机分为对照组与垂直振动组。垂直振动组在常规康复治疗的基础上,进行渐进性全身垂直振动治疗方案;对照组在常规康复治疗的基础上,站在垂直振动平台,不开启振动治疗。一天1次,每次15min,每周5天,共3周。分别在治疗前后评估患侧下肢肌张力(股四头肌,小腿三头肌),Fugl-Meyer下肢功能,Berg平衡量表。结果:治疗前垂直振动组与对照组比较各指标间无显著性差异(P0.05);与治疗前比较,治疗后两组患者的FuglMeyer下肢评分及Berg平衡均较治疗前显著提高(P0.05),下肢股四头肌及小腿三头肌肌张力均较治疗前增高(P0.05)。治疗前后差值比较,Fugl-Meyer下肢评分的差值无显著性意义(P0.05),Berg平衡评分的差值有显著性意义(P0.05),小腿三头肌肌张力差值变化有显著性意义(P0.05)。结论:与常规康复治疗比较,3周全身垂直振动治疗对缺血性脑卒中偏瘫早期患者的下肢功能无显著改善,但能提高患者的平衡功能。
[Abstract]:Objective: to investigate the effects of a progressive systemic vibration therapy on lower limb function and balance function in early ischemic stroke patients with hemiplegia. Methods: 30 patients were randomly divided into control group and vertical vibration group. The vertical vibration group was treated with progressive systemic vertical vibration therapy on the basis of routine rehabilitation, while the control group was standing on the vertical vibration platform on the basis of routine rehabilitation treatment and did not turn on vibration therapy. Once a day for 15 minutes, 5 days a week for 3 weeks. The muscle tension (quadriceps femoris, triceps crus), Fugl-Meyer lower limb function and Berg balance scale were evaluated before and after treatment. Results: there was no significant difference between the vertical vibration group and the control group before treatment (P0.05). Compared with before treatment, the FuglMeyer score and Berg balance of the two groups were significantly higher than those before treatment (P0.05), and the tension of quadriceps femoris and triceps of lower extremity were higher than that before treatment (P0.05). Before and after treatment, Fugl-Meyer lower limb score difference was not significant (P0.05), Berg balance score difference was significant (P0.05), lower leg triceps muscle tension difference change was significant (P0.05). Conclusion: compared with conventional rehabilitation treatment, 3 weeks vertical vibration therapy has no significant improvement on lower extremity function in the early stage of ischemic stroke hemiplegia, but can improve the balance function of patients with hemiplegia.
【作者单位】：江苏省人民医院(南京医科大学第一附属医院)康复医学中心;
【基金】：基金项目:江苏省医学重点学科——康复医学(xk201110)
【分类号】：R743.3

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