本体神经肌肉促进技术联合核心稳定训练对脑损伤后运动障碍的康复

Combination of core neuromuscular facilitation technique and core stability training for rehabilitation of motor impairment after brain injury

目的:研究本体神经肌肉促进(PNF)技术联合核心稳定训练对脑损伤患者运动功能障碍的康复疗效。方法:选取2014年4月至2016年10月温州医科大学附属第一医院脑损伤住院患者50例,随机分为对照组和实验组各25例,对照组给予PNF治疗,实验组给予PNF治疗联合核心稳定性训练,2种治疗方法时间均为30min/次,1次/d,6d/周,共8周。分别于治疗前及治疗后用Berg平衡量表(BBS)、躯干控制能力测试(TCT)、最大步行速度(MWS)、改良Barther指数评定(MBI)进行运动功能的疗效评价。结果:2组患者治疗后BBS、TCT、MWS较治疗前明显改善,差异有统计学意义(P<0.05),MBI治疗后与治疗前比较,2组差异均无统计学意义(P>0.05);2组治疗后组间比较,治疗组BBS、TCT、MWS较对照组明显升高,差异有统计学意义(P<0.05),2组治疗后比较,MBI差异无统计学意义(P>0.05)。结论:核心稳定性训练与PNF技术均能改善于脑损伤患者运动功能,2种技术联合治疗效果更佳。

Objective： To study the rehabilitation effect of the core neuromuscular facilitation （PNF） combined with core stability training on motor impairment in patients with brain injury. Methods： Fifty cases of brain injury patients in the First Affiliated Hospital of Wenzhou Medical University from June 2014 to October 2016 were randomly divided into the controlled group and the treated group with 25 cases in each, the controlled was given with PNF, and the treated was given with PNF combined with core stability training, but the same method was taken which was one treatment for 30 min, 1/d, 6 d/week and 8 weeks total. The efficacy of motor function was evaluated by Berg balance scale （BBS）, trunk control ability test （TCT）, maximum walking speed （MWS） and modified Barther index （MBI） before and after treatment respectively. Results： After treatment BBS, TCT, MWS of the two groups significantly improved, the difference was significant （P〈0.05）, no significant improve- ment ofMBI （P〉0.05）; the two groups were compared with each other after treatment, BBS, TCT and MWS of the treated group were significantly higher than the other （P〈0.05 MBI）, no significant difference was found be- tween two groups （P〉0.05）. Conclusion： The core stability training and PNF technology can improve the motor function of patients with brain injury, and the combination of the two techniques is better.