首页|期刊导航|中国康复|本体感觉神经肌肉促进技术联合空气波压力疗法在脑卒中偏瘫患者肢体功能康复中的应用研究

本体感觉神经肌肉促进技术联合空气波压力疗法在脑卒中偏瘫患者肢体功能康复中的应用研究OA

Application of proprioceptive neuromuscular facilitation combined with air wave pressure therapy in limb function reha-bilitation of patients with hemiplegia after stroke

中文摘要英文摘要

目的:分析本体感觉神经肌肉促进技术(PNF)+空气波压力疗法对脑卒中偏瘫(AH)治疗的效果,及对患者肢体功能、平衡功能等的影响.方法:纳入 AH患者81例,随机分为研究组41例和对照组40例.对照组给予PNF疗法,研究组给予PNF与空气波压力疗法.干预前及干预6周后,评价2组肢体功能、平衡功能、运动耐力、脑血流动力学及生活能力.结果:治疗后,2组肢体 Fugl-Meyer运功功能量表(FMA)评分、运动功能状态量表(MSS)评分、Berg平衡功能量表(BBS)评分较治疗前显著升高(P<0.05),且研究组高于对照组(P<0.05);治疗后2组6min步行距离测试(6MWT)、大脑中动脉血流速度(MCA-Vm)、基底动脉血流速度(BA-Vm)、前动脉血流速度(ACA-Vm)、改良Barthel指数(MBI)较治疗前均升高(P<0.05),且研究组高于对照组(P<0.05);治疗后2组10m步行时间测试(10MWT)水平较治疗前降低(P<0.05),且研究组低于对照组(P<0.05).结论:AH 患者接受PNF联合空气波压力疗法共同治疗,对肢体功能恢复具有显著效果,能有效提升机体平衡能力、肢体功能、运动耐力,显著增强患者自理能力,整体干预效果较为理想.

Objective:To analyze the therapeutic effect of proprioceptive neuromuscular facilitation(PNF)com-bined with air wave pressure therapy on apoplectic hemiplegia(AH),as well as its influences on limb function,bal-ance function,etc.Methods:All 81 patients with AH were included and randomly grouped.The control group was given PNF,while the study group was given PNF combined with air wave pressure therapy.After 6 weeks of inter-vention,the limb function,balance function,exercise endurance,cerebral hemodynamics,and living ability were e-valuated.Results:After treatment,the scores in the limb Fugl-Meyer assessment(FMA),motor function status scale(MSS),and Berg balance scale(BBS)in the two groups were significantly higher than those before treatment(P<0.05),and the scores in the study group were higher than those in the control group(P<0.05).After treat-ment,the 6-minute walk distance test(6 MWT),middle cerebral artery blood flow velocity(MCA-Vm),basilar artery blood flow velocity(BA-Vm),anterior cerebral artery blood flow velocity(ACA-Vm),and modified Barthel index(MBI)of the two groups were higher than those before treatment(P<0.05),and those in the study group were higher than in the control group(P<0.05).After treatment,the 10-meter walk test(10 MWT)level in the two groups was lower than that before treatment(P<0.05),and that in the study group was lower than that in the control group(P<0.05).Conclusion:The combined treatment of PNF and air wave pressure therapy for AH pa-tients has a prominent effect on the recovery of limb function.It can effectively improve the body's balance ability,limb function,and exercise endurance,obviously enhance the patient's self-care ability,and has a relatively ideal o-verall intervention effect.

杨凡慧;韦洪涛;洪军文;钱文林

安徽省池州市人民医院康复医学科,安徽 池州 247100安徽省池州市人民医院康复医学科,安徽 池州 247100安徽省池州市人民医院康复医学科,安徽 池州 247100安徽省池州市人民医院康复医学科,安徽 池州 247100

医药卫生

脑卒中偏瘫本体感觉空气波压力肢体功能生活能力

stroke hemiplegiaproprioceptionair wave pressurelimb functionliving ability

《中国康复》 2026 (8)

473-477,5

2022年度安徽省卫生健康科研项目(AHWJ2022a037)

10.3870/zgkf.2026.08.005

评论