腘绳肌练习对脑卒中后膝稳定性及日常生活活动能力的影响

Effect of hamstring exercise on the stability of the knee and activities of daily living after stroke

目的:观察月国绳肌练习对改善脑卒中患者膝关节过伸及日常生活活动能力(ADL)的疗效。方法:38例患者随机分为治疗组(20例)和对照组(18例)。治疗组除了给予常规康复治疗(中级偏瘫医疗体操;神经肌肉促进技术;步态分解练习;ADL训练),还给予针对性月国绳肌练习(月国绳肌最大向心性等张-膝关节末端等长抗阻练习;月国绳肌肌电生物反馈治疗);对照组只给予常规康复治疗。治疗时间60d。比较治疗前后LKSS膝关节功能评定、上田敏12级评定、Barthel指数等各项指标的变化。结果:治疗组各项指数的改变均明显优于对照组(P<0.01)。结论:月国绳肌练习对脑卒中偏瘫患者的膝关节不稳有明显疗效,并能改善患者的日常生活活动能力。

AIM:To observe the e ff ect of hamstring exercise on the instability of the knee and activities of daily living(ADL)in hemiplegia patients following stroke.METHODS:Thirty-eight pa tients were randoml y divided into therapy group(n=20),11males and 9fem ales with an averag e age of(60.5±5.7)years,and control group(n=1 8),8males and 10females with the avera ge age of(58.4±4.3)years .Patients in the therapy group were given ham-string exercise based on regular reh abilitation therapy(including intermediate therapeutic exercise for hemipl egia,neuromuscular promotion techniq ue,gait exercise and ADL training),whil e those in the control group were only given regular rehabilitation thera py.Th e duration of treatment was 60d .Lysholm knee scoring scale(LKSS),assessme nt of Shang Tianmin and Barthel index were evaluated before and after treatment in the two groups.RESULTS:The scores in each group had a signifi cant increase (P<0.01),and the scores of the therapy group we re significantly superio r to those o f the control group(P<0.01).