正常运动模式训练偏瘫患者疗效观察

Training the Hemiplegic Patients with Normal Motor Pattern

应用神经促通技术为主综合治疗中风偏瘫病人56例。治疗前功能Ⅰ～Ⅲ阶段,上肢38例(67.9％)、下肢35例(62.5％);出院时Ⅳ～Ⅵ阶段,上肢44例(78.6％)、下肢54例(96.4％),有显著上升,P<0.01。在后9个月更加强调心理、平衡和协调运动,使正常步态由前9个月的38.5％上升到90.6％,偏瘫步态则减少46.9％,P均<0.01。

56 hemiplegic patients were comprehensively treated with the neurological facilitation techniques as the main approach. Before the treatment 38 patients, upper limbs (67. 9%) and 35 patients, lower limbs (62. 5%) were at Brunnstroms functional stages I ~ Ⅲ , respectively. While after the treatment 44 patients , upper limbs and 54 paticntsm lower limbs were at stages IV^VI. The functional levels before and after the treatment were significantly different (P<0. 01). Psychological intervention, balance and coordination training were stressed on the latter stage of the treatment program making an increase of the percentage of normal gait from 38.5 to 90.6 and a decrease of 46. 9% of hemiplegic gait. The difference was statistically significant.