悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的效果

Effect of Sling Exercise Therapy Combined with Acupuncture at Jiaji Acupoints on Balance in Stroke Patient with Hemiplegia

目的观察悬吊运动疗法结合针刺夹脊穴对脑卒中偏瘫患者平衡功能的影响。方法 2013年10月至2015年10月,40例存在平衡功能障碍的脑卒中偏瘫患者随机分为对照组(n=20)和治疗组(n=20)。两组均行常规康复治疗,治疗组联合应用悬吊运动疗法结合针刺夹脊穴。治疗前后,采用Berg平衡量表(BBS)、10米最大步行速度(10MWS)、下肢Fugl-Meyer评定量表(FMA-L)和改良Barthel指数(MBI)进行评定。结果治疗4周后,两组BBS评分、10MWS、FMA-L评分和MBI评分均较治疗前提高(t>2.249,P<0.05),治疗组明显优于对照组(t>2.954,P<0.01)。结论悬吊运动疗法结合针刺夹脊穴能进一步改善脑卒中偏瘫患者的平衡功能,提高步行功能及日常生活活动能力。

Objective To observe the effect of sling exercise therapy combined with acupuncture at Jiaji acupoints on balance function of stroke patients with hemiplegia. Methods From October, 2013 to October, 2015, 40 hemiplegic stroke patients with balance dysfunction were randomized to control group and treatment group equally. Both groups accepted routine rehabilitation, while the treatment group com-bined with sling exercise therapy and acupuncture at Jiaji acupoints. They were assessed with Berg Balance Scale （BBS）, 10-metre maxi-mum walking speed （10MWS）, Fugl-Meyer Assessment of lower limbs （FMA-L） and modified Barthel Index （MBI） before and four weeks after treatment. Results The scores of BBS, FMA-L and MBI, and 10MWS improved in both groups （t〉2.249, P〈0.05）, and improved more in the treatment group than in the control group （t〉2.954, P〈0.01）. Conclusion Sling exercise therapy combined with acupuncture at Jiaji acupoints can further improve the function of balance, walking and activities of daily living in stroke patients with hemiplegia.