PNF技术对脑卒中偏瘫患者手功能康复的重要性

The Importance of PNF in the Early Application of Cerebral Apoplexy to the Rehabilitation of Hemiplegia Hand Function

目的观察PNF技术对脑卒中偏瘫患者手功能康复治疗的促进作用。方法选取脑卒中偏瘫患者(恢复期)80例随机分为观察组和对照组各40例。两组患者病情稳定后均进行良肢位的摆放,Bobath疗法及刺激神经肌肉功能等康复治疗。观察组加用PNF技术,包括拮抗肌反转、患侧上肢肌肉训练、增加肌肉等张收缩、关节活动度牵拉等。采用改良Barthel指数量表评定患者日常生活活动能力,采用Lindmark量表评定患者手运动功能。结果治疗4周后,两组改良Barthel指数评分、Lindmark手运动评分较治疗前均提高(P<0.001),观察组2项评分明显高于对照组(P<0.05);治疗8周后,观察组改良Barthel指数评分、Lindmark手运动评分显著高于对照组(P<0.001)。结论PNF在脑卒中早期应用可以促进偏瘫手功能恢复。

Objective To observe the effect of PNF technique on rehabilitation of hand function in stroke patients with hemiplegia. Methods 80 patients with hemiplegia （convalescence） were randomly divided into the observation group and the control group, 40 cases in each group. Patients with stable condition were placed in good limb position, Bobath therapy and stimulation of neuromuscular function rehabilitation treatment. PNF technique was used in the observation group, including antagonist muscle reversal, muscle training on the affected side, increase of isotonic,joint motion, traction and so on. The modified Barthel index scale was used to assess the activities of daily living, and the Lindmark scale was used to assess the patients＇ hand movement. Results After 4 weeks of treatment, the improved Barthel index and Lindmark hand movement score of the two groups were higher than those before the treatment （P 〈 0.001 ）. The score of 2 items in the observation group was signiticantly higher than that in the control group （P 〈 0.05）. After 8 weeks of treatment, the improved Barthel index and the score of Lindmark hand movement were signiticantly higher in the observation group than in the control group （P 〈 0.001 ）. Conclusion PNF can promote the recovery of hemiplegic hand function in the early stage of stroke.