镜像疗法联合下肢负重振动训练对脑卒中偏瘫患者下肢功能、步行功能与日常生活活动能力的影响

Effects of mirror therapy combined with lower limb weight-bearing vibration training on the lower limb function,walking function and activities of daily living of patients with cerebral stroke complicated by hemiplegia

目的探讨镜像疗法联合下肢负重振动训练对脑卒中偏瘫患者下肢功能、步行功能与日常生活活动能力的影响。方法选择2021年1~12月收治的脑卒中偏瘫患者102例,随机数字表分为研究组和对照组,每组51例。2组患者均行常规功能训练,对照组应用下肢负重振动训练,研究组应用镜像疗法联合下肢负重振动训练。比较2组患者干预前与干预6周后的下肢运动功能[Fugl-Meyer量表(FMA)中下肢部分]、痉挛程度[Ashworth量表(MAS)]、步行能力[功能性步行量表(FAC)、10 m最大步行速度(MWS)]、日常生活活动能力[改良Barthel指数量表(MBI)],以及护理满意度。结果干预前2组FMA评分差异无统计学意义(P>0.05),干预后研究组评分高于对照组(P<0.01)。2组干预前MAS评分未见明显差异(P>0.05),干预后研究组低于对照组(P<0.01)。干预前2组FAC评分与MWS差异无统计意义(P>0.05),干预后研究组FAC量表评分高于对照组(P<0.01)、MWS时间低于对照组(P<0.01)。干预前2组MBI评分差异无统计学意义(P>0.05),干预后研究组分值高于对照组(P<0.01)。研究组护理总满意率为98.04%高于照组的84.31%(P<0.05)。结论镜像疗法联合下肢负重振动训练能够有效改善脑卒中偏瘫患者的下肢功能与步行功能,保障其日常生活活动能力,适于临床推广。

Objective To investigate the effects of mirror therapy combined with lower limb weight-bearing vibration training on the lower limb function,walking function and activities of daily living of patients with cerebral stroke complicated by hemiplegia.Methods A total of 102 patients with cerebral stroke complicated by hemiplegia who were treated in our hospital from January 2021 to December 2021 were enrolled in the study,who were randomly divided into two groups,with 51 patients in each group.The patients in both groups received routine functional training,on that basis,the patients in control group received lower limb weight-bearing vibration training,however,those in research group received mirror therapy combined with lower limb weight-bearing vibration training.The lower limb motor function[Fugl Meyer scale(FMA),the degree of spasticity[Ashworth Scale(MAS)],walking ability[functional walking scale(FAC),10m maximum walking speed(MWS)],activities of daily living[modified Barthel Index Scale(MBI)]and nursing satisfaction degree were observed and compared between the two groups before intervention and at 6 weeks after intervention.Results Before intervention there were no significant differences in FMA scores between the two groups(P>0.05),howevere,after intervention,which in research group were significantly higher than those in control group(P<0.01).Before intervention there were no significant differences in MAS scores between the two groups(P>0.05),howevere,after intervention,which in research group were significantly lower than those in control group(P<0.01).Before intervention there were no significant differences in FAC scores and MWS between the two groups(P>0.05),howevere,after intervention,the FAC scores in research group were significantly higher than those in control group(P<0.01),but,MWS time in research group was significantly shorter than those in control group(P<0.01).Before intervention there were no significant differences in MBI scores between the two groups(P>0.05),howevere,after intervention,which in research group were significantly higher than those in control group(P<0.01).Moreover the total satisfaction rate of nursing in research group was 98.04%,which was significantly higher than that(84.31%)in control group(P<0.05).Conclusion Mirror therapy combined with lower limb weight-bearing vibration training can effectively improve the lower limb function and walking function of patients with cerebral stroke complicated by hemiplegia,and can ensure the ability of activities of daily living of patients,therefore,it is worthy of clinical promotion.