体外冲击波联合神经松动术治疗偏瘫肢体痉挛的短期观察

Extracorporeal Shock Wave Combined with Neurodynamics for Hemiplegic Limb Spasm: A Short-Term Observation

目的:观察体外冲击波联合神经松动术治疗脑卒中后偏瘫肢体痉挛的疗效。方法:将66例脑卒中患者随机分为观察组和对照组各33例,均给予常规运动疗法,观察组则配合体外冲击波和神经松动术治疗,比较两组临床疗效及、简化Fugl-Meyer量表(FMA)、Barthel指数(MBI)评分的变化情况。结果:观察组FMA评分、MBI评分改善程度均显著优于对照组(P<0.01);观察组总有效率为93.94%,显著高于对照组的75.76%(P<0.05)。结论:体外冲击波联合神经松动术对脑卒中后偏瘫患者的肢体痉挛具有一定疗效,且安全无副作用,值得临床应用。

Objective:To observe the efficacy of extracorporeal shock wave combined with neurodynamics in treatment of hemiplegic limb spasm after stroke.Methods:66 cases of stroke patients were randomly divided into observation group(n=33)and control group(n=33),both of the groups treated with conventional exercise therapy while observation group combined with extracorporeal shock wave and neurodynamics,compared the therapeutic effect and changes of Fugl-Meyer Assessment(FMA)and Modified Barthel Index(MBI)scores of the two groups.Results:The improvement of FMA and MBI score in observation group were significantly better than control group(P<0.01);the overall response rate of observation group was 93.94%,which was significantly higher than 75.76%that of control group(P<0.05).Conclusion:Extracorporeal shock wave combined with neurodynamics has certain effect on limb spasm in patients with hemiplegia after stroke,and its safe and without side effects make it deserve clinical application.