基于悬吊疗法的神经肌肉激活技术对脑卒中偏瘫患者运动功能的影响

刘英姣; 张泓; 陈爱连; 符文君

doi:10.16766/j.cnki.issn.1674-4152.002519

基于悬吊疗法的神经肌肉激活技术对脑卒中偏瘫患者运动功能的影响

doi: 10.16766/j.cnki.issn.1674-4152.002519

湖南省人民医院康复科, 湖南长沙 410000

基金项目:

湖南省残疾人联合会康复科研项目 2019XK001

详细信息

通讯作者:
张泓, E-mail: zh5381271@sina.com

中图分类号: R743.3 R454
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出版历程
- 收稿日期: 2021-07-04
- 网络出版日期: 2022-09-21

Effect of neuromuscular activation technology based on suspension therapy on motor function of stroke patients with hemiplegia

Department of Rehabilitation Medicine, Hunan Provincial People ' s Hospital, Changsha, Hunan 410000, China

摘要

摘要: 目的探讨基于悬吊疗法的神经肌肉激活技术对脑卒中偏瘫患者躯干控制、步态以及平衡等运动功能的临床应用疗效。方法选取2019年1—11月于湖南省人民医院康复医学科住院的80例脑卒中偏瘫患者，采用随机数字表法分为对照组和观察组，各40例。对照组采用常规康复训练，观察组采用基于悬吊疗法的神经肌肉激活技术训练。训练前后评定患者的平衡、躯干控制、下肢运动功能、平衡和生活质量以及行走过程中下肢的步态时空参数。结果观察组治疗后的平衡能力、躯干控制能力、下肢运动功能和步行功能[(37.61±4.36)分、(83.41±8.61)分、(80.71±9.19)分、(3.86±0.23)分]均高于对照组[(34.86±4.11)分、(76.83±7.36)分、(72.37±9.57)分、(3.66±0.34)分，均P＜0.05]；观察组生活质量得分均高于对照组(均P＜0.05)；步态时空参数的步速、步频和跨步长均大于对照组(均P＜0.05)；跨步时间和支撑相占比均低于对照组(均P＜0.05)。结论基于悬吊疗法的神经肌肉激活技术可有效优化脑卒中偏瘫患者的步态功能，改善其躯干控制能力、平衡能力、步行能力和生活质量，值得临床推广。
- 神经肌肉激活技术 /
- 悬吊疗法 /
- 脑卒中 /
- 偏瘫 /
- 步态 /
- 运动功能
Abstract: Objective To explore the clinical effect of neuromuscular activation technology based on suspension therapy on motor functions such as trunk control, gait and balance in stroke patients with hemiplegia. Methods A total of 80 patients with hemiplegia after stroke hospitalized in the Rehabilitation Medicine Department of Hunan Provincial People's Hospital from January to November 2019 were randomly divided into control group and observation group, with 40 cases in each group. The control group was received routine rehabilitation training, while the observation group was given neuromuscular activation technology based on suspension therapy. The patients' balance, trunk control, lower limb motor function, balance, quality of life, as well as the temporal and spatial parameters of lower limb gait during walking were evaluated before and after training. Results After treatment, the balance ability, trunk control ability, lower limb motor function and walking function in the observation group [(37.61±4.36) points, (83.41±8.61) points, (80.71±9.19) points, (3.86±0.23) points] were higher than those in the control group [(34.86±4.11) points, (76.83±7.36) points, (72.37±9.57) points, (3.66±0.34) points, all P < 0.05]. The scores of quality of life in the observation group were higher than those in the control group (all P < 0.05). The gait speed, gait frequency and stride length of gait spatiotemporal parameters in the observation group were higher than those in the control group (all P < 0.05). The stride period and the proportion of support phase in the observation group were lower than those in the control group (all P < 0.05). Conclusion The neuromuscular activation technology based on suspension therapy can effectively optimize the gait function of stroke patients with hemiplegia, improve their trunk control ability, balance ability, walking ability and quality of life, which is worthy of clinical promotion.
- Neuromuscular activation technology /
- Suspension therapy /
- Stroke /
- Hemiplegia /
- Gait /
- Motor function

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表 1 2组脑卒中偏瘫患者一般资料比较

Table 1. Comparison of general data between the two groups of stroke patients with hemiplegia

组别	例数	性别(例)		年龄(x±s, 岁)	病程(x±s, 月)
组别	例数	男性	女性	年龄(x±s, 岁)	病程(x±s, 月)
对照组	40	17	23	45.21±10.28	1.68±0.52
观察组	40	19	21	45.71±10.32	1.67±0.51
统计量		0.202^a		0.217^b	0.087^b
P值		0.653		0.829	0.931
注：^a为χ²值，^b为t值。

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表 2 2组脑卒中偏瘫患者治疗前后平衡能力和躯干控制能力评分比较(x±s, 分)

Table 2. Comparison of balance ability and trunk control ability scores between the two groups of stroke patients with hemiplegia before and after treatment (x±s, points)

组别	例数	平衡能力		躯干控制能力
组别	例数	治疗前	治疗后	治疗前	治疗后
对照组	40	29.65±3.14	34.86±4.11^a	67.41±6.42	76.83±7.36^a
观察组	40	28.89±3.21	37.61±4.36^a	67.71±6.48	83.41±8.61^a
t值		1.070	2.903	0.208	3.674
P值		0.288	0.005	0.836	< 0.001
注：与治疗前比较，^aP＜0.05。

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表 3 2组脑卒中偏瘫患者治疗前后下肢运动功能和步行功能评分比较(x±s, 分)

Table 3. Comparison of lower limb motor function and walking function scores between the two groups of stroke patients with hemiplegia before and after treatment (x±s, points)

组别	例数	下肢运动功能		步行功能
组别	例数	治疗前	治疗后	治疗前	治疗后
对照组	40	56.35±9.12	72.37±9.57^a	2.35±0.68	3.66±0.34^a
观察组	40	56.53±8.32	80.71±9.19^a	2.24±0.55	3.86±0.23^a
t值		0.092	3.975	0.795	3.081
P值		0.927	< 0.001	0.429	0.003
注：与治疗前比较，^aP＜0.05。

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表 4 2组脑卒中偏瘫患者治疗前后生活质量评分比较(x±s, 分)

Table 4. Comparison of quality of life scores before and after treatment between the two groups of stroke patients with hemiplegia (x±s, points)

组别	例数	生理		心理		环境		社会关系
组别	例数	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后	治疗前	治疗后
对照组	40	66.06±5.10	73.08±6.52^a	69.37±5.21	77.11±6.16^a	67.25±4.80	78.40±5.10^a	68.11±5.17	76.91±5.24^a
观察组	40	67.70±5.03	78.42±6.36^a	69.51±5.14	82.38±6.27^a	68.39±4.74	81.50±5.13^a	69.21±5.07	81.59±5.66^a
t值		1.448	3.708	0.121	3.792	1.069	2.710	0.961	3.837
P值		0.152	< 0.001	0.904	< 0.001	0.288	0.008	0.340	< 0.001
注：与治疗前比较，^aP＜0.05。

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表 5 2组脑卒中偏瘫患者步态时空参数比较(x±s)

Table 5. Comparison of spatiotemporal parameters of gait between the two groups of stroke patients with hemiplegia(x±s)

组别	例数	步速(m/min)	步频(步次/min)	跨步长(m)	跨步时间(s)	支撑相占比差值(%)
对照组	30	83.64±12.04	99.31±14.57	78.52±17.29	1.37±0.31	12.57±2.54
观察组	35	92.25±18.63	110.67±13.98	90.78±24.09	1.14±0.28	10.75±2.36
t值		2.455	3.558	2.615	3.482	3.320
P值		0.016	< 0.001	0.011	< 0.001	0.001

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