绳带疗法联合PNF技术对脑卒中患者步行功能的效果分析

Effectiveness of rope therapy combined with PNF technique on walking ability of stroke patients

目的:观察绳带疗法联合本体感觉神经肌肉促进技术(PNF)对脑卒中患者步行能力的临床效果。方法:选取2022年1—7月在广西医科大学第二附属医院康复医学科住院的脑卒中患者60例,依据随机数字表法分为常规组(n=20)、PNF组(n=20)和联合组(n=20)。3组患者均接受常规康复治疗,常规组只进行常规步行康复训练,PNF组在常规训练基础上强化PNF手技训练,联合组患者在PNF组的基础上增加绳带疗法。比较3组患者治疗前和治疗后BBS评分、FMA-LE评分、Holden步行功能分级、10 m步行测试(10MWT)及6 min步行距离(6MWT)评估结果。结果:治疗4周后,3组患者的BBS评分、FMA-LE评分、Holden步行功能分级、10MWT及6MWT评估指标均优于治疗前(均P<0.05),其中PNF组、联合组患者治疗后BBS评分、FMA-LE评分、Holden步行功能分级、10MWT及6MWT均优于常规组(均P<0.05),且联合组的疗效优于PNF组(均P<0.05)。结论:在常规康复训练和PNF技术训练的基础上再辅助绳带疗法干预,可以进一步提高偏瘫患者步行功能。

Objective:To observe the clinical effect of rope therapy combined with proprioceptive neuromuscu-lar facilitation(PNF)technique on walking ability of stroke patients.Methods:A total of 60 stroke patients hospi-talized in the Rehabilitation Medicine Department of the Second Affiliated Hospital of Guangxi Medical Universi-ty from January 2022 to July 2022 were selected and divided into conventional group(n=20),PNF group(n=20)and combined group(n=20)according to the random number table method.All patients in the three groups re-ceived conventional rehabilitation therapy,the conventional group only received conventional walking rehabilita-tion training,the PNF group received PNF hand skill training on the basis of conventional training,and the com-bined group received rope therapy on the basis of conventional and PNF technique training.The BBS score,FMA-LE score,Holden walking functional grading,10 m walking test(10MWT)and 6 min walking distance(6MWT)assessment results were compared before and after treatment.Results:After 4 weeks of treatment,the BBS score,FMA-LE score,Holden walking function grading,10MWT and 6MWT assessment indexes in the three groups were better than those before treatment(all P<0.05).Among them,after treatment,the BBS score,FMA-LE score,Holden walking function grading,10MWT and 6MWT in the PNF group and the combined group were better than those in the conventional group(all P<0.05)and the efficacy of the combined group was better than that of the PNF group(all P<0.05).Conclusion:The walking function of stroke patients with hemi-plegia can be further improved by the intervention of rope therapy on the basis of conventional rehabilita-tion training and PNF technique training.