《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (1): 22-24.

• 论文 • 上一篇    下一篇

本体感觉神经肌肉促进技术对脑卒中患者平衡功能的影响

潘毓健，徐国会，郑洁皎，夏汶，杨寅   

  1. 复旦大学附属华东医院康复医学科，上海市 200040。
  • 收稿日期:2011-07-22 修回日期:1900-01-01 出版日期:2012-01-25 发布日期:2012-01-25
  • 通讯作者: 郑洁皎

Effect of Proprioceptive Neuromuscular Facilitation on Balance of Stroke Patients

PAN Yu-jian, XU Guo-hui, ZHENG Jie-jiao, et al.   

  1. Department of Rehabilitation, Huadong Hospital, Fudan University, Shanghai 200040, China
  • Received:2011-07-22 Revised:1900-01-01 Published:2012-01-25 Online:2012-01-25

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摘要： 目的探讨在社区康复治疗中应用本体感觉神经肌肉促进技术(PNF)对脑卒中患者平衡功能的影响。方法204 例脑卒中患者分为对照组(n=98)和观察组(n=106)，对照组接受常规康复治疗，观察组在此基础上应用PNF。治疗前和治疗3 个月后分别采用Fugl-Meyer 下肢运动功能评定(FMA)、Berg 平衡量表(BBS)和静态平衡测定仪进行评定。结果治疗后两组FMA及BBS 评分均较治疗前提高(P<0.05)，且观察组高于对照组(P<0.05)；在睁眼与闭眼模式下，观察组轨迹长度、轨迹总面积、单位面积轨迹长均较对照组降低(P<0.05)。结论社区康复治疗中应用PNF 可提高脑卒中患者下肢运动功能和平衡功能。

关键词: 脑卒中, 社区, 本体感觉神经肌肉促进技术, 运动, 平衡

Abstract: Objective To explore the effect of proprioceptive neuromuscular facilitation (PNF) on balance function of stroke patients in community. Methods 204 stroke patients in community were divided into control group (n=98) and observation group (n=106). The control group accepted routine rehabilitation and the observation group received PNF additionally. Fugl-Meyer Assessment of lower extremities (FMA), Berg Balance Scale (BBS) and static balance locator were used to evaluate the motor and balance function before and 3 months after treatment. Results The scores of FMA and BBS were higher after treatment than before (P<0.05) in both groups, and were higher in observation group than in control group (P<0.05). The length of path (L), covered area (A) and L/A were less in observation than in control group (P<0.05) both in the eye-open and eye-closed modes. Conclusion PNF can improve the lower extremities motor and balance function of stroke patients in community.

Key words: stroke, community, proprioceptive neuromuscular facilitation, motor, balance