摘要
目的探讨电动肌肉震动仪结合牵伸训练对脑卒中后痉挛性偏瘫患者肌张力及日常生活能力的影响。方法选择2021年9月—2023年9月无锡市锡山人民医院收治的58例脑卒中后痉挛性偏瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,每组29例。对照组给予患者牵伸训练,观察组在对照组基础上给予患者电动肌肉震动仪治疗。对比两组患者肌张力、肢体功能、痉挛程度、平衡能力和日常生活能力。结果干预后,观察组肌张力等级低于对照组,差异有统计学意义(P<0.05)。干预后,观察组Fugl-Meyer运动量表评分、Barthel指数量表指数均高于对照组,偏瘫侧下肢综合痉挛量表评分低于对照组,组间差异有统计学意义(P<0.05)。干预后,观察组Berg平衡量表评分高于对照组,差异有统计学意义(P<0.05)。结论采取电动肌肉震动仪联合牵伸训练对脑卒中后痉挛性偏瘫患者进行干预,有助于改善患者肌张力,提升其肢体功能、日常生活能力和平衡能力,降低肢体痉挛程度。
Objective To explore the effects of electric muscle vibration combined with stretching training on muscle tone and daily living ability in patients with spastic hemiplegia after stroke.Methods Fifty eight patients with post-stroke spastic hemiplegia admitted to Xishan People's Hospital in Wuxi from September 2021 to September 2023 were selected as the research objects and were randomly divided into a control group and an observation group,with 29 cases in each group.The control group was given stretching training to the patients,while the observation group was given an electric muscle vibrator on the basis of the control group.Compare muscle tone,limb function,spasticity,balance ability,and daily living ability between two groups of patients.Results After intervention,the muscle tone level of the observation group was lower than that of the control group,with a statistical difference(P<0.05).After intervention,the Fugl Meyer Movement Assessment and Barthel Index scores of the observation group were higher than those of the control group,while the Comprehensive Spasm Scale scores of the hemiplegic lower limb were lower than those of the control group,with statistical differences(P<0.05).After intervention,the Berg Balance Scale score of the observation group was higher than that of the control group,with a statistical difference(P<0.05).Conclusion The use of an electric muscle vibrator combined with stretching training to intervene in patients with spastic hemiplegia after stroke can help improve muscle tone,enhance limb function,daily living ability,and balance ability,and reduce the degree of limb spasms.
作者
莫丹烨
MO Danye(Department of Rehabilitation Medicine,Xishan People's Hospital in Wuxi,Wuxi Jiangsu,214000,China)
出处
《反射疗法与康复医学》
2024年第7期184-187,共4页
Reflexology And Rehabilitation Medicine
关键词
脑卒中
痉挛性偏瘫
电动肌肉震动仪
牵伸训练
肌张力
日常生活能力
Stroke
Spastic hemiplegia
Electric muscle vibrator
Stretching training
Muscle tone
Daily living ability
