腓肠肌潜能开发训练对脑卒中偏瘫患者下肢肌张力和运动功能的影响

Effects of the gastrocnemius potentiality development training on motor function and muscle tone of hemiplegic patients' lower limb

目的:观察腓肠肌潜能开发训练对脑卒中偏瘫患者下肢肌张力和运动功能的影响。方法:将40例脑卒中偏瘫患者随机分为对照组和治疗组,每组20例,两组均采用常规康复治疗方法训练,治疗组每天增加30min腓肠肌潜能开发训练。所有治疗均1次/d、5d/周,共12周。在治疗前后分别采用偏瘫侧下肢综合痉挛量表(CSS)评分、下肢运动功能评分(FMA),徒手肌力测定(MMT)对患者进行综合评价,并分析其功能改善情况。结果:治疗后,两组FMA评分、MMT较治疗前显著增加(P<0.05),治疗组CSS评分较治疗前显著减少(P<0.05);与对照组比较,治疗组FMA评分显著增加(P<0.05),CSS评分显著减少(P<0.05)。结论:腓肠肌潜能开发训练可改善脑卒中偏瘫患者下肢肌张力,缓解痉挛,有效改善下肢运动功能。

Objective： To study the effects of gastrocnemius potentiality development on lower limb motor function and muscle tone of hemiplegic patients. Methods： Forty patients were randomly divided into the treatment group and the control group, 20 patients in each group. Both groups were trained using conventional rehabilitation methods. The treatment group increased 30 min of gastrocnemius potential development training every day. All treatments were once/d, 5 d/week for 12 weeks. Before and after treatment, comprehensive evaluation was performed using composite spasticity scale（CSS）, fugl-meyer assessment（FMA）, manual muscle test（MMT）, and their functional improvement was analyzed. Results： After treatment, the scores of FMA and MMT increased than before treatment in two groups（P〈0.05）, CSS sores reduced in treatment group（P〈0.05）; compared with control group, FMA scores increased while CSS scores reduced in treatment group（P〈0.05）. Conclusion： The gastrocnemius potentiality development training can reduce lower limb spasticity and improve the motor function of hemiplegic patients.