综合康复疗法治疗卒中后上肢痉挛临床研究

Clinical Study of Massage in Treating Spastic Limbs of Stroke

目的:探讨推拿手法配合生物反馈结合中药熏洗治疗脑卒中后上肢痉挛的临床疗效。方法:将84例患者随机分为两组,治疗组采用推拿手法和生物反馈结合中药熏洗治疗,对照组采用推拿手法结合生物反馈治疗。以改良Ashworth量表评分变化来观察患者疗效。结果:两组治疗前后Ashworth量表评分比较,差异均有统计学意义(P<0.05),两组间治疗后评分比较,治疗组优于对照组,有显著性差异(P<0.05)。结论:推拿手法结合中药熏洗能更好地促进患者痉挛肢体功能恢复,改善患者肢体痉挛症状。

Objective： To investigate the effect of massage combined with surface electromyogram biofeedback stimulation and Chinese fumigationand washing on spastic limbs of stroke patients. Methods： 84 patients admitted were divided into two groups. The treatment group was given the treatment of massage combined with surface electromyogram biofeedback stimulation and Chinese fumigationand washing,while the control group was given massage combined with surface electromyogram biofeedback stimulation. Changes of the upgraded Ashworth scale score were observed after treatment. Results： There were significant differences in score of the two groups before and after the treatment. There was a significant difference after treatment. Conclusion： Massage combined with surface electromyogram biofeedback stimulation and Chinese fumigationand washing can improve spastic symptoms of limbs in patients with stroke.