PNF技术及Bobath技术在脑卒中偏瘫患者康复治疗中的效果比较

Comparison of the effects of PNF technology and Bobath technology in the rehabilitation of stroke patients with hemiplegia

目的比较PNF技术与Bobath技术对脑卒中偏瘫患者躯干功能、肢体功能、日常功能的康复效果。方法74例脑卒中偏瘫患者分为PNF组(37例)和Bobath组(37例),分别采用PNF技术和Bobath技术进行康复治疗,观察治疗前后患者的躯干功能(TIS、TCT)、肢体运动功能(MAS、FMA)及日常生活功能(ADL、MBI)。结果治疗前,2组TIS、TCT、FMA-UL、FMA-LL、MAS、ADL、MBI评分差异均无统计学意义(P>0.05);治疗后,2组各项功能评分均改善,且PNF组改善程度优于Bobath组,差异均有统计学意义(P<0.05)。结论PNF技术较Bobath技术更有助于脑卒中偏瘫患者躯干功能的增强,改善患者肢体运动功能,促进其日常生活能力的恢复。

Objective To compare the rehabilitation effects of PNF technology and Bobath technology on trunk function,limb function and daily function of stroke patients with hemiplegia.Methods A total of 74 stroke patients with hemiplegia were divided into PNF group(n=37)and Bobath group(n=37).The trunk function(TIS,TCT),limb motor function(MAS,FMA)and daily living function(ADL,MBI)of the two groups were observed before and after treatment by PNF technology and Bobath technology respectively.Results Before treatment,there were no significant differences in TIS,TCT,FMA-UL,FMA-LL,MAS,ADL and MBI scores between two groups(P>0.05).After treatment,the functional scores of both groups were improved,and the improvement degree of PNF group was better than that of Bobath group,the differences were statistically significant(P<0.05).Conclusions Compared with Bobath technology,PNF technology was more helpful to enhance the trunk function,improve limb motor function and promote the recovery of activities of daily life in stroke patients with hemiplegia.