基于本体感觉神经肌肉促进技术的康复训练在卒中恢复期患者中的应用效果

Application effects of proprioceptive neuromuscular facilitation technique-based rehabilitation training in patients with stroke in recovery period

目的:观察基于本体感觉神经肌肉促进技术(PNF)的康复训练在卒中恢复期患者中的应用效果。方法:选取2020年4月至2023年4月该院收治的72例卒中恢复期患者进行前瞻性研究,按随机数字表法将其分为观察组与对照组各36例。对照组采用常规康复训练,观察组在对照组基础上采用基于PNF的康复训练。比较两组训练前后步行功能[功能性步行量表(FAC)]、平衡功能[Berg平衡量表(BBS)]评分、下肢运动功能[Fugl-Meyer评定量表下肢部分(FMA-LE)]评分、10 m最大步行速度(MWS)和日常生活活动能力[改良Barthel指数(MBI)]评分。结果:训练后,两组FAC等级均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);两组BBS、FMA-LE评分均高于训练前,且观察组高于对照组,差异有统计学意义(P<0.05);两组MWS水平、MBI评分均高于训练前,且观察组高于对照组(P<0.05)。结论:在常规康复训练基础上采用基于PNF的康复训练可提高卒中恢复期患者步行功能分级、BBS评分、FMA-LE评分、MWS水平和MBI评分,其效果优于单纯常规康复训练。

Objective:To observe application effects of proprioceptive neuromuscular facilitation(PNF)-based rehabilitation training in patients with stroke in recovery period.Methods:A prospective study was conducted on 72 patients with stroke in recovery period who were admitted to the hospital from April 2020 to April 2023.They were divided into observation group and control group according to the random number table method,36 cases in each group.The control group was treated with routine rehabilitation training,while the observation group was treated with the PNF-based rehabilitation training on the basis of that of the control group.The walking function[functional walking category(FAC)],the balance function[Berg balance scale(BBS)]score,lower limb motor function[Fugl-Meyer Lower Limb Motor Function Rating Scale(FMA-LE)]score,the 10 m maximum walking speed(MWS),and the activities of daily living[modified Barthel index(MBI)]score were compared between the two groups before and after the training.Results:After the training,the FAC levels of the two groups were higher than those before the training,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The BBS and FMA-LE scores of the two groups were higher than those before the training,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Furter,the MWS and MBI scores of the two groups were higher than those before the training,those of the observation group were higher than those of the control group(P<0.05).Conclusions:On the basis of the routine rehabilitation training,the PNF-based rehabilitation training can improve the walking function classification,the BBS scores,the FMA-LE scores,the MWS levels and the MBI scores of the patients with stroke in recovery period.Moreover,it is superior to single routine rehabilitation training.