肌内效贴结合常规运动疗法对偏瘫患者下肢功能及步态的疗效观察

发布时间：2019-07-10 13:22

【摘要】：目的:观察肌内效贴结合常规运动疗法对偏瘫患者下肢运动功能及步态的影响。方法:60例脑卒中偏瘫患者分成观察组和对照组各30例。对照组采用常规康复训练方法,观察组在此基础上增加肌内效贴的贴扎治疗。于治疗前及治疗8周后采用下肢Fugl-Meyer运动功能评分(FMA)、功能性步行能力分级(FAC)及足印分析法对2组患者进行评定。结果:治疗8周后,2组患者的FMA评分、FAC分级较组内治疗前均有明显提高(P0.05),且观察组更高于对照组(P0.05)。治疗后,2组患者患侧的平均步长、步宽及步速较组内治疗前均有明显提高(P0.05),且观察组更高于对照组(P0.05)。结论:使用肌内效贴结合常规运动疗法可进一步改善脑卒中后偏瘫患者的下肢运动功能,提高步行能力。
文内图片：

图片说明：图１放松小腿三头肌
[Abstract]:Objective: to observe the effect of intramuscular patch combined with routine exercise therapy on lower extremity motor function and gait in patients with hemiplegia. Methods: sixty patients with cerebral apoplexy were divided into observation group (n = 30) and control group (n = 30). The control group was treated with routine rehabilitation training, and the observation group was treated with intramuscular patch. Before treatment and 8 weeks after treatment, the lower extremity Fugl-Meyer motor function score (FMA), functional walking ability grading (FAC) and footprints analysis were used to evaluate the two groups of patients. Results: after 8 weeks of treatment, the FMA score and FAC grade of the two groups were significantly higher than those before treatment (P 0.05), and the observation group was higher than the control group (P 0.05). After treatment, the average step size, step width and walking speed of the two groups were significantly higher than those before treatment (P 0.05), and the observation group was higher than the control group (P 0.05). Conclusion: intramuscular patch combined with routine exercise therapy can further improve the lower extremity motor function and walking ability of patients with hemiplegia after stroke.
【作者单位】：复旦大学附属上海市第五人民医院康复医学科;
【基金】：上海市第五人民医院科研课题项目(2014WYYJ07)
【分类号】：R49;R743.3

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