摘要
目的:探讨脑卒中后偏瘫患者踝背伸和跖屈肌群的协调控制治疗对下肢运动功能的影响。方法:脑卒中后偏瘫患者39例,随机分为2组,其中常规训练组19例,踝关节协调控制组20例,2组患者分别于治疗前、治疗6周后进行对比研究,评定指标:简化Fugl-Meyer运动量表下肢功能评分(FMA-L),Berg平衡量表评分(BBS),10m步行速度测定,Holden步行功能分级。结果:2组患者治疗前各评估方法结果差异无显著意义(P<0.05),治疗6周后2组患者各评定结果均有明显改善,与治疗前比较差异具有显著性(P>0.05),但踝关节协调控制组改善情况优于常规组。结论:在常规康复治疗基础上加强踝关节背伸和跖屈肌群协调控制可提高患者下肢运动功能。
Objective： To explore the effect of ankle dorsiflexion and plantarflexion coordinating and controlling on Stroke patients＇ lower extremity recovery . Methods： A total of 39 cases with stroke-induced Hemiplegia were randomly divided into a control groups 19 cases and a coordinating and controlling groups 20 cases. Two groups were compared before the exercise and 6 weeks after the training ,Assessment indexes were the lower limber part of Fugl-Meyer assessment （FMA-L） ,Berg Balance Scale （BBS）,10m walking speed measurement and Holden index.Results： There was no significant difference between two groups before treatment（p〉0.05）. after six weeks treatment, two groups showed significant increasing of scores on FMA-L,BBS, 10m walking speed and Holden index（p〈0.05） , higher in the coordinating and controlling groups than in the control groups （p〈0.05）. Conclusions： Ankle dorsiflexion and plantarflexion coordinating and controlling could improve Stroke patients＇ lower extremity recovery.
出处
《中国伤残医学》
2012年第12期14-16,共3页
Chinese Journal of Trauma and Disability Medicine
关键词
踝部协调控制
下肢运动功能
脑卒中
Ankle coordinating and controlling
Lower extremity recovery
Stroke
