摘要
目的:探讨三维旋进式振动疗法联合常规康复训练对脑卒中偏瘫患者上下肢痉挛状态、步行能力及生活质量的影响。方法:按照随机数字表法,将南京医科大学附属苏州医院2020年4月-2022年4月期间收治的80例脑卒中偏瘫患者分为对照组(常规康复训练)和实验组(三维旋进式振动疗法联合常规康复训练),每组各40例。对比两组偏瘫侧上下肢痉挛状态、步行能力及生活质量情况。结果:两组干预4周后、干预8周后Fugl-Meyer运动功能评分(FMA)上肢、下肢评分均较干预前升高,且实验组高于对照组(P<0.05)。两组干预4周后、干预8周后步长、步速、6 min步行试验(6MWT)均较干预前升高,且实验组高于对照组(P<0.05)。两组干预8周后,生理职能(RP)、活力(VT)、生理功能(PF)、总体健康(GH)、社会功能(SF)、躯体疼痛(BP)、情感职能(RE)、精神健康(MH)均较干预前升高,且实验组高于对照组(P<0.05)。结论:三维旋进式振动疗法联合常规康复训练应用于脑卒中偏瘫患者,可有效改善上下肢痉挛状态,提高步行能力,促进生活质量提高。
Objective:To explore the effect of three-dimensional progressive vibration therapy combined with routine rehabilitation training on upper and lower limb spasticity,walking ability and quality of life of stroke patients with hemiplegia.Methods:According to the method of random number table,80 patients with stroke hemiplegia admitted in Suzhou Hospital Affiliated to Nanjing Medical University from April 2020 to April 2022 were divided into the control group(routine rehabilitation training)and the experimental group(three-dimensional progressive vibration therapy combined with routine rehabilitation training),with 40 patients in each group.The spasticity,walking ability and quality of life of upper and lower limbs on the hemiplegic side between the two groups were compared.Results:The Fugl-Meyer motor function scores(FMA)of upper limbs,and lower limbs in the two groups at 4 weeks after intervention,and 8 weeks after intervention were higher than those before intervention,and the experimental group was higher than the control group(P<0.05).The step length,step speed and 6-min walking test(6MWT)in the two groups at 4 weeks after intervention,and 8 weeks after intervention were higher than those before intervention,and the experimental group was higher than the control group(P<0.05).8 weeks after intervention,the role-physical(RP),vitality(VT),physical functioning(PF),general health(GH),social functioning(SF),bodilypain(BP),role-emotional(RE),and mental health(MH)in the two groups were higher than those before intervention,and the experimental group was higher than the control group(P<0.05).Conclusion:Three-dimensional progressive vibration therapy combined with conventional rehabilitation training was applied to stroke patients with hemiplegia,which can effectively improve the spasticity of upper and lower limbs,improve walking ability,and improve the quality of life.
作者
赵敏
杨娜娜
沈筠筠
冯金法
周伟宏
ZHAO Min;YANG Na-na;SHEN Jun-jun;FENG Jin-fa;ZHOU Wei-hong(Department of Rehabilitation Medicine,Suzhou Hospital Affiliated to Nanjing Medical University(Suzhou Municipal Hospital),Suzhou,Jiangsu,215000,China)
出处
《现代生物医学进展》
CAS
2023年第20期3960-3963,共4页
Progress in Modern Biomedicine
基金
苏州市科技发展计划(应用基础研究-医疗卫生)项目(SYSD2015121)
江苏省卫生计生委医学科研项目(D20180610)。
关键词
三维旋进式振动
常规康复训练
脑卒中
痉挛
步行能力
生活质量
Three-dimensional progressive vibration
Routine rehabilitation training
Stroke
Spasticity
Walking ability
Quality of life
