悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的效果

doi:10.3969/j.issn.1006-9771.2017.07.004·

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (7): 762-765.doi: 10.3969/j.issn.1006-9771.2017.07.004·

• 专题脑卒中针刺机理与功能康复 • 上一篇下一篇

悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的效果

陈瑞全¹, 吴建贤², 朱宗俊¹, 肖洪波¹, 何云欢³

作者单位：1.安徽中医药大学第一附属医院针灸康复科,安徽合肥市 230031;
2.安徽医科大学第二附属医院康复科,安徽合肥市 230031;
3.全椒县人民医院骨科,安徽全椒县 239000。

收稿日期:2016-12-18 出版日期:2017-07-25 发布日期:2017-08-07
通讯作者: 肖洪波(1970-),男,安徽合肥市人,副主任医师,主要研究方向：神经系统康复。E-mail: mahuiqin-2008@163.com。
作者简介:陈瑞全(1980-),男,汉族,安徽合肥市人,硕士,主治医师,主要研究方向：神经系统康复。
基金资助:
安徽省卫生厅中医药科研课题(No.2012Zy06)

Effect of Sling Exercise Therapy Combined with Acupuncture at Jiaji Acupoints on Balance in Stroke Patient with Hemiplegia

CHEN Rui-quan¹, WU Jian-xian², ZHU Zong-jun¹, XIAO Hong-bo¹, HE Yun-huan³

1. Department of Acupuncture and Rehabilitation, the First Affiliated Hospital of Anhui Medical University, Hefei, Anhui 230031, China;
2. Department of Rehabilitation, the Second Affiliated Hospital of Medical University of Anhui, Hefei, Anhui 230031, China;
3. Department of Orthopaedics, Quanjiao County People's Hospital, Quanjiao, Anhui 239000, China

Received:2016-12-18 Published:2017-07-25 Online:2017-08-07
Contact: Correspondence to XIAO Hong-bo. E-mail: mahuiqin-2008@163.com

摘要/Abstract

摘要： 目的观察悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的影响。方法2013年10月至2015年10月,40例存在平衡功能障碍的脑卒中偏瘫患者随机分为对照组(n=20)和治疗组(n=20)。两组均行常规康复治疗,治疗组联合应用悬吊运动疗法结合针刺夹脊穴。治疗前后,采用Berg平衡量表(BBS)、10米最大步行速度(10MWS)、下肢Fugl-Meyer评定量表(FMA-L)和改良Barthel指数(MBI)进行评定。结果治疗4周后,两组BBS评分、10MWS、FMA-L评分和MBI评分均较治疗前提高(t>2.249, P<0.05),治疗组明显优于对照组(t>2.954, P<0.01)。结论悬吊运动疗法结合针刺夹脊穴能进一步改善脑卒中偏瘫患者的平衡功能,提高步行功能及日常生活活动能力。

关键词: 脑卒中, 平衡, 悬吊运动疗法, 夹脊穴, 针刺, 运动, 下肢

Abstract: ObjectiveTo observe the effect of sling exercise therapy combined with acupuncture at Jiaji acupoints on balance function of stroke patients with hemiplegia. MethodsFrom October, 2013 to October, 2015, 40 hemiplegic stroke patients with balance dysfunction were randomized to control group and treatment group equally. Both groups accepted routine rehabilitation, while the treatment group combined with sling exercise therapy and acupuncture at Jiaji acupoints. They were assessed with Berg Balance Scale (BBS), 10-metre maximum walking speed (10MWS), Fugl-Meyer Assessment of lower limbs (FMA-L) and modified Barthel Index (MBI) before and four weeks after treatment. ResultsThe scores of BBS, FMA-L and MBI, and 10MWS improved in both groups (t>2.249, P<0.05), and improved more in the treatment group than in the control group (t>2.954, P<0.01). ConclusionSling exercise therapy combined with acupuncture at Jiaji acupoints can further improve the function of balance, walking and activities of daily living in stroke patients with hemiplegia.

Key words: stroke, balance, sling exercise therapy, Jiaji acupoints, acupuncture, motor, lower limbs

中图分类号:

R743.3

陈瑞全, 吴建贤, 朱宗俊, 肖洪波, 何云欢. 悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的效果[J]. 《中国康复理论与实践》, 2017, 23(7): 762-765.

CHEN Rui-quan, WU Jian-xian, ZHU Zong-jun, XIAO Hong-bo, HE Yun-huan. Effect of Sling Exercise Therapy Combined with Acupuncture at Jiaji Acupoints on Balance in Stroke Patient with Hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(7): 762-765.

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悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的效果

Effect of Sling Exercise Therapy Combined with Acupuncture at Jiaji Acupoints on Balance in Stroke Patient with Hemiplegia

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