舒经理筋推拿法改善中风下肢痉挛与肌肉张力及运动功能随机平行对照研究

Randomized Parallel Control Study on Muscle Tension and Motor Function of Lower Limbs in Stroke Patients with Lower Limb Spasticity

[目的]观察舒经理筋推拿法改善中风下肢痉挛与肌肉张力及运动功能疗效。[方法]使用随机平行对照方法,将130例住院患者按按病志号抽签简单随机分两组。对照组65例针灸,患肢三阳经关元、悬钟、气海、昆仑、髀关、阳陵泉、足三里,平补平泻,留针30min,行针1次/10min。治疗组65例舒经理筋推拿,经筋循行选足少阴肾经和足厥阴肝经,补、.、拿、弹拨推拿下肢,放松下肢内收肌群,点按阿是、三阴交、阴陵泉等,动作轻柔,点按穴位出现酸胀感为度,保持力度;患者取俯卧位,扶住腰部,同时握住踝部,根据经筋循行路线反向牵拉,持续5min;拔伸患侧,牵拉病侧内收肌群,直至肌肉松软,保持拔伸力度;髋关节和膝关节的屈伸运动,持续30min,1次/d。连续治疗2周为1疗程。观测临床症状、改良Ashworth肌张力评定、ADL评分、FMA评分、不良反应。治疗1疗程,判定疗效。[结果]下肢肌肉张力恢复情况治疗组优于对照组(P<0.05)。ADL评分、FMA评分治疗组优于对照组(P<0.05)。[结论]舒经理筋推拿法改善中风下肢痉挛患者下肢肌肉张力及运动功能,疗效满意,无严重不良反应,值得推广。

[Objective] To observe the manager Shu muscle massage method improve lower limb muscle spasticity in patients with stroke. Effect of tension and motor function method using random parallel control method, 130 cases of hospitalized patients according to disease records, draw simple were randomly divided into two groups. [Method] Using random parallel control method, 130 cases of hospitalized patients according to disease records, draw simple were randomly divided into two groups. 65 cases in the control group of acupuncture, reinforcing reducing, for 30 min, every 10 min. The 65 patients in the treatment group manager Shu muscle massage method, duration 5 min; hip and knee flexion extension movement, continuous 30 min, 1 times/d. for 2 consecutive weeks as 1 course of treatment. Observe the clinical symptoms, improved Ashworth muscle tension evaluation, ADL score, FMA score, adverse reaction. The efficacy of 1 courses of treatment.[Results] The recovery of lower limb muscle tension was better in the treatment group than in the control group（P〈0.05）, the ADL score and the FMA score were better in the treatment group than in the control group（P〈0.05）. [Conclusion] The method of Shu Zhi Tong massage can improve the muscular tension and motor function of lower limb in patients with lower limb spasticity of stroke, and the curative effect is satisfactory,and there is no serious adverse reaction. It is worth popularizing