摘要
目的观察基于Bobath理念的全身振动疗法对脑卒中偏瘫患者上肢痉挛的影响。方法选取脑卒中后偏瘫上肢痉挛患者33例,随机分为治疗组17例和对照组16例。两组均给予常规康复训练,治疗组在此基础上给予全身振动疗法。两组患者均于治疗前、治疗2周后、治疗4周后分别采用改良Ashworth分级法(MAS)、表面肌电图均方根值(RMS)、Fugl-Meyer运动评分(FMA)和改良Barthel指数(MBI)评定患肢痉挛程度、运动功能和日常生活活动能力。结果治疗2周、4周后,两组患者偏瘫侧上肢的MAS评分以及肱二头肌、腕屈肌群RMS均显著低于治疗前,FMA、MBI评分均显著高于治疗前,差异有统计学意义(P<0.05);且治疗组的MAS评分、肱二头肌及腕屈肌群RMS、FMA评分、MBI评分均显著优于对照组,差异有统计学意义(P<0.05)。结论基于Bobath理念的全身振动疗法用于治疗脑卒中偏瘫上肢痉挛,能有效降低痉挛程度,改善偏瘫侧上肢的运动功能,提高患者日常生活能力。
Objective To observe the influence ofthe whole body vibration therapy based on Bobath concept on upper limb spasticity in stroke patients with hemiplegia. Methods 33 cases of patients with hemiplegia after stroke complicated with upper limb spasticity were selected and randomly divided into the treatment group （17 cases） and the control group （16 cases）. Both groups were given routine limb function training, and the treatment group was given additional whole body vibration therapy. Before treatment, and at 2 weeks and 4 weeks after treatment, patients＇ limb paralysis degree, motor function and activity of daily living were evaluated by modified Ashworth scale （MAS）, root mean square value （RMS） of surface electromyography, Fugl-Meyer assessment （ FMA） and modified Barthel index （MBI）. Results At 2 weeks and 4 after treatment, the MAS score and RMS of biceps brachii and wrist flexor muscles of the two groups were significantly lower than those before treatment, and the FMA and MBI scores of the two groups were significantly higher than those before treatment （P 〈0.05）; also, the MAS score, RMS of biceps brachii and wrist flexor muscles, FMA score and MBI score ofthe treatment group were significantly better than those ofthe control group （P 〈0.05）. Conclusions The whole body vibration therapy based on Bobath concept for the treatment of upper limb spasticity in stroke patients with hemiplegia, which can effectively reduce the spasticity degree, improve the motor function of affected upper limb, and improve the activity of daily living of patients.
作者
王国胜
郭钢花
李哲
梁英姿
WANG Guosheng, GUO Ganghua, LI Zhe, LIANG Yingzi(Department of Rehalyilitation, the Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)
出处
《临床医学工程》
2018年第6期733-735,共3页
Clinical Medicine & Engineering
