Bobath、Brunnstrom、Rood及PNF技术对脑血管病迟缓期的康复疗效观察

Efficacy Observation on Bobath, Brunnstrom, Rood and PNF Technique on Rehabilitation of Cerebral Vascular Diseases in Lag Phase

目的：观察Bobath技术、Brunnstrom技术、Rood技术及PNF技术对脑血管病迟缓期的康复疗效。方法：85例患者随机分为Bobath技术组、Rood技术组、Brunnstrom技术组、PNF技术组和对照组，五组均接受基础治疗至迟缓期结束，四组技术组分别予以相应的康复技术，治疗前后采用FMA、MBI进行康复评定，并记录迟缓期持续的时间。结果：治疗后五组患者FMA、MBI评分均较治疗前显著升高（P〈0.05），且四组技术组MBI评分均显著高于对照组（P〈0.05）；四组技术组迟缓期持续时间均显著少于对照组（P〈0.05）。结论：脑血管病迟缓期患者早期介入Bobath技术、Brunnstrom技术、Rood技术或PNF技术均可缩短迟缓期持续时间，促进患者肢体功能恢复，提高日常生活活动能力；且四种康复技术对脑血管病迟缓期患者的康复疗效相当，可康复治疗中灵活运用。

Objective：To study the rehabilitation efficacy of Bobath, Brunnstrom, Rood and PNF technique on rehabilitation of cerebral vascular dis-eases in lag phase. Methods：85 patients were randomly divided into Bobath group, Rood group, Brunnstrom group, PNF group and control group, five groups received basic treatment until the lag phase ended, four technique groups with corresponding rehabilitation technology, rehabilitation evaluation was made before and after treatment with FMA and MBI, and the duration of lag phase was recorded. Results：The FMA、MBI scores of five groups after treatment were all significantly higher than those before treatment （P〈0.05）;MBI scores of four technique group were all signifi-cantly higher than that of control group （P〈0.05）;duration of lag phase of four technique group were all significantly lower than that of control group （P〈0.05）. Conclusion：Cerebral vascular disease of lag phase with early intervention of Bobath, Brunnstrom, Rood and PNF technique can shorten duration of lag phase, promote the limb function recovery and improve daily living ability;there is no significant difference in rehabilitation efficacy of Bobath, Brunnstrom, Rood and PNF technique on cerebral vascular diseases in lag phase, which can be flexibly used.