推拿结合核心稳定训练治疗痉挛期脑卒中

Clinical Research on Massage Combined with Core Stability Training for the Spastic Period of Stroke

[目的]观察推拿结合核心稳定训练对脑卒中痉挛期患者痉挛程度和肢体运动功能的疗效。[方法]将60例脑卒中痉挛期患者随机分为治疗组30例,对照组30例,治疗组采用推拿结合核心稳定训练,对照组予推拿结合Bobath技术治疗,12周后以改良Ashworth量表(modified Ashworthscale,MAS)测定两组患者患侧肢体肌张力和Fugl-meyer运动功能评价法(Fugl-meyer assesment,FMA)进行运动功能评分来评价疗效。[结果]两组治疗前MAS、FMA评分比较,差异无统计学意义(P>0.05)。治疗后,对照组与治疗组的总有效率分别为86.67%与96.67%,差异有统计学意义(P<0.05),MAS、FMA评分均高于治疗前,差异有显著统计学意义(P<0.01)。治疗组治疗后MAS、FMA评分明显高于对照组,差异有统计学意义(P<0.05)。[结论]推拿结合核心稳定训练治疗脑卒中后痉挛的疗效肯定,优于推拿结合Bobath技术组。

[Objective]To evaluate clinical effects of stroke on the spastic period with the treatment of massage combined with core stability training.[Method]60 patients with stroke on the spastic period were randomly divided into the research group（n=30） and the control group（n=30）.Patients in the control group were given massage combined with Bobath Technique training,the research group were given massage combined with core stability training.After 12 weeks,use modified Ashworth（MAS） scale and Fugl-Meyer（FMA） Scale as indexes for evaluating the clinical effect.[Result]There was no statistical significance between research group and the control group in MAS and FMA before the treatment（P＆gt;0.05）.When treated for 12 weeks,the total effective rates were respectively 86.67% and 96.67% in control group and research group,the difference was statistically significant,the levels of MAS and FMA were increased significantly（P＆lt;0.05） as compared with those before treatment.The MAS and FMA in research group were significantly higher than those in control group（P＆lt;0.05）.[Conclusion]The massage combined with core stability training had obvious effect on improving function than the massage combined with Bobath Technique training for the treatment of stroke on the spastic period.