疏经通督推拿结合康复训练对脑卒中患者偏瘫肢体运动能力的影响

Effects of Unblocking Meridians and Du-channel Massage Combined with Rehabilitation Training on the Motor Function Improvement of Cerebral Ischemic Stroke Patients

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中文关键词: 脑卒中疏经通督推拿运动步态康复

英文关键词:cerebral stroke unblocking meridians and Du-channel tuina movement gait rehabilitation

基金项目:

作者	单位
潘化平	南京中医药大学第二临床医学院东南大学医学院附属南京江北人民医院康复医学科
李亚娟	东南大学医学院附属南京江北人民医院康复医学科
金宏柱	南京中医药大学第二临床医学院
冯慧	东南大学医学院附属南京江北人民医院康复医学科

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中文摘要:

目的研究疏经通督推拿治疗结合康复训练对缺血性脑卒中患者偏瘫肢体运动能力的影响并初步探讨其干预机制。方法 80例缺血性脑卒中患者按随机数字表法,分为疏经通督推拿治疗组(治疗组,40例)、康复治疗对照组(对照组,40例),对照组患者采用Bobath技术为主的治疗;治疗组在常规康复训练的基础上加用疏经通督推拿治疗,两组患者均进行8周治疗。比较两组患者治疗前后的躯干下肢运动功能评分(FMA-L)、10m最大步行速度(MWS)、步态时间-空间参数及时相参数的变化。结果两组患者治疗前各项指标比较,差异均无统计学意义(P>0.05),治疗后两组患者FMA-L、MWS、步态时间-空间参数与治疗前比较,差异均有统计学意义(P<0.05),治疗组各项指标明显优于对照组(P<0.01,P<0.05)。结论疏经通督推拿可以改善脑卒中偏瘫患者肢体运动功能和步行能力,值得进一步总结。

英文摘要:

Objective To study effects of unblocking meridians and Du-channel massage combined with rehabilitation training on the motor function improvement of cerebral ischemic stroke(CIS) patients. MethodsEighty CIS patients were assigned to the treatment group(40 cases) and the control group(40 cases) using random digit table method. Bobath technique was mainly carried out in patients in the control group. On the basis of routine rehabilitation training,unblocking meridians and Du-channel massage was additionally given to patients in the treatment group. The therapeutic course for all patients was 8 weeks. The changes of Fugl-Meyer Assessment-L(FMA-L) ,10 meter maximal walking speed(MWS) ,and gait space and time parameters were compared before and after treatment. Results Before treatment there was no significant difference in each index between the two groups(P>0.05) . After treatment there was significant difference in these indices between the two groups(P<0.05) ,with better results obtained in the treatment group(P<0.01,P<0.05) . Conclusion The unblocking meridians and Du-channel massage could improve the motor function and walking capability of CIS patients,which was worthy of further summaries.

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