本体感觉神经肌肉促进术对脑卒中恢复期患者下肢运动功能、步行能力与日常生活能力的影响

The effect of proprioceptive neuromuscular facilitation on lower limb motor function, walking ability, and ability of daily living in patients with the stroke recovery period

目的探讨本体感觉神经肌肉促进术(PNF)对脑卒中恢复期患者下肢运动功能、步行能力与日常生活能力的影响。方法选择浙江省丽水市第二人民医院康复科2018年1月至2020年10月收治的脑卒中恢复期患者120例,采用抛硬币法分为常规组(n=60)与PNF组(n=60)。常规组采用常规康复治疗,PNF组采用PNF治疗,比较两组治疗前后下肢运动功能、步行能力与日常生活能力的差异。结果治疗后PNF组Fugl-Meyer下肢运动功能评分量表(FMA-LE)评分高于常规组(P<0.05),治疗后PNF组功能性步行量表(FAC)分级优于常规组,10 m最大步行速度测试(MWS)水平高于常规组(P<0.05),治疗后PNF组改良巴氏指数(MBI)评分高于常规组(P<0.05)。结论PNF用于脑卒中恢复期相对于常规康复治疗可有效改善患者下肢运动功能,提升步行能力与日常生活能力。

Objective To explore the effect of proprioceptive neuromuscular facilitation(PNF)on lower limb motor function,walking ability,and daily living ability in patients with the stroke recovery period.Methods A total of 120 patients with stroke recovery period admitted to the rehabilitation department in the Second People′s Hospital of Lishui from January 2018 to October 2020 were selected.They were divided into the conventional group(n=60)and the PNF group(n=60)by the coin-flipping method.The conventional group was treated with conventional rehabilitation.The PNF group was treated with PNF.The difference in lower limb motor function,walking ability,and daily living ability was compared between the two groups before and after treatment.Results After treatment,the Fugl-Meyer Lower Extremity Motor Function Rating Scale(FMA-LE)score in the PNF group was higher than that in the conventional group(P<0.05).The functional ambulation scale(FAC)classification in the PNF group was better than the conventional group.The 10 m maximum walking speed test(MWS)in the PNF group was higher than that of the conventional group(P<0.05).The modified Barth index(MBI)score of the PNF group was higher than that of the conventional group(P<0.05).Conclusion Compared with conventional rehabilitation treatment,PNF used in the stroke recovery period can effectively improve the motor function of the patients′lower limbs,enhance the walking ability and the ability of daily living.