摘要
目的探究镜像疗法联合四肢联动疗法(Nustep-T4)运动训练对改善脑梗死偏瘫患者下肢运动功能与平衡功能的作用.方法选取本院2019年11月—2022年11月收治的78例脑梗死偏瘫患者为研究对象,按随机数字表法将其分为对照组与观察组,各39例.对照采取镜像疗法,观察组采取镜像疗法联合Nustep-T4运动训练.比较两组患者干预前后的下肢肌张力分级、下肢运动功能评分量表(FMA-LE)评分、Berg平衡量表(BBS)评分、10 m最大步行速度(10 mMWS)、Holden功能性步行分级法(FAC)评分、膝关节屈膝及伸膝肌峰力矩.结果干预后,观察组FMA-LE评分(23.13±3.93)分、BBS评分(56.59±8.34)分、FAC评分(2.33±0.47)分均高于对照组的(19.87±3.62)分、(45.79±8.04)分、(1.92±0.35)分,10 mMWS(57.41±9.37)m/min快于对照组的(48.93±8.35)m/min,膝关节屈膝肌峰力矩(31.02±4.02)N·m、膝关节伸膝肌峰力矩(38.72±4.23)N·m均大于对照组的(24.38±3.55)N·m、(31.96±4.18)N·m,组间差异有统计学意义(P﹤0.05).结论镜像疗法联合Nustep-T4运动训练用于脑梗死偏瘫患者中的作用较显著,不仅能改善其下肢运动功能与平衡功能,还能促进其步态功能的恢复.
Objective To explore the effect of mirror therapy combined with extremity linkage therapy(Nustep-T4)exercise training on lower limb motor function and balance function in patients with cerebral infarction hemiplegia.Methods 78 patients with cerebral infarction hemiplegia admitted to our hospital from November 2019 to November 2022 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.Control group was treated with image therapy,observation group was treated with image therapy combined with Nustep-T4 exercise training.Lower limb muscle tone rating,lower limb Motor Function Rating Scale(FMA-LE)score,Berg Balance Scale(BBS)score,10 m maximum walking speed(10 mMWS),Holden Functional Walking rating(FAC)score,knee flexion and knee extension peak moment before and after intervention were compared between the two groups.Results After intervention,FMA-LE score(23.13±3.93)points,BBS score(56.59±8.34)points and FAC score(2.33±0.47)points in the observation group were higher than(19.87±3.62)points,(45.79±8.04)points and(1.92±0.35)points in the control group,10 mMWS(57.41±9.37)m/min was faster than(48.93±8.35)m/min of the control group,the peak moment of knee flexion muscle(31.02±4.02)N·m and the peak moment of knee extensor muscle(38.72±4.23)N·m were higher than(24.38±3.55)N·m and(31.96±4.18)N·m of control group,and the differences between groups were statistically significant(P﹤0.05).Conclusion Mirror therapy combined with Nustep-T4 exercise training has a significant effect on patients with cerebral infarction hemiplegia,which can not only improve their lower limb motor function and balance function,but also promote the recovery of gait function.
作者
李良武
胡晓娟
LI Liangwu;HU Xiaojuan(Department of Neurosurgery,Anqiu People's Hospital,Anqiu Shandong,262100,China;Department of Neurology,Anqiu People's Hospital,Anqiu Shandong,262100,China)
出处
《反射疗法与康复医学》
2024年第1期86-88,92,共4页
Reflexology And Rehabilitation Medicine
作者简介
李良武(1983-),男,山东安丘人,本科,主治医师,研究方向:脑血管疾病诊治;通信作者:胡晓娟(1983-),女,山东临沂人,硕士研究生,主治医师,研究方向:脑血管疾病诊治,邮箱:2010290821@qq.com。
