摘要
目的：研究环状加压结合本体感觉神经肌肉促进技术（PNF）对脑卒中急性期阶段偏瘫上肢恢复的影响。方法：急性期脑卒中偏瘫患者40例,随机分为加强组和对照组各20例,均按脑血管病常规处理,并接受PNF治疗。加强组在PNF治疗的同时进行环状加压治疗。均于治疗前、治疗3及6周、随访6及12个月时对2组患者进行Fugl-Meyer（FMA）,Action Research Arm和Barthel评分评定患侧上肢功能。结果：治疗后的各时间点,以上各项指标评分与治疗前比较2组均有明显提高;加强组在随访的6~12个月,FMA评分均明显高于对照组;2组中病情程度严重的患者,其各项指标评分对照组均明显低于加强组（均P〈0.05,0.01）。结论：环状加压结合PNF对脑卒中急性期患者偏瘫上肢的运动功能恢复有显著促进作用,Fugl-Meyer评分在1年后仍持续上升。提示脑卒中早期给予最佳干预措施有潜在的益处。
Objective： To investigate the effect of a specific therapeutic intervention on the arm function in the acute phase after stroke.Methods： In a single-blinded,randomized and controlled trial,40 consecutive patients were allocated to either an experimental group that received an additional treatment of PNF with circumferential pressure or to a control group.The intervention was applied for 6 weeks.Patients were evaluated for score of Fugl-Meyer test,Action Research Arm test and Barthel Index before,midway,and after the intervention period and at the 6th and 12th month during the follow-up period after stroke.Results： In the experimental group,the score of the Fugl-Meyer was increased as compared with the control group during the follow-up period of 6-12 months.There was no significant difference in the score of Action Research Arm test and Barthel Index between two groups.Conclusion：PNF combined with circumferential pressure intervention during the acute phase after stroke improved motor recovery,which was apparent one year later.These results emphasize the potential beneficial effect of therapeutic interventions for the arm.
出处
《中国康复》
2010年第5期340-342,共3页
Chinese Journal of Rehabilitation
