任务导向性训练结合拮抗针法治疗脑卒中后膝过伸临床研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R743.3

基金项目:


Clinical Study on Task-oriented Training Combined with Antagonistic Acupuncture for Post-stroke Genu Recurvatum
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察任务导向性训练结合拮抗针法治疗脑卒中后膝过伸的临床疗效,以期得到新的联合治疗方案来改善患者的偏瘫侧膝过伸障碍,提高其日常生活活动能力。方法:选取42例脑卒中存在膝过伸功能障碍的患者,按随机数字表法分为对照组和治疗组各21例。治疗组给予针刺拮抗肌配合任务导向性康复治疗,对照组给予普通针刺配合任务导向性康复治疗。根据行走功能评定、Loudon膝过伸诊断方法、膝关节ROM评定等指标评价2组患者临床疗效,观察治疗4周后患者膝过伸的改善情况。结果:治疗组Loudon膝过伸疗效总有效率为76.2%,显著高于对照组28.6%,差异有统计学意义(P<0.05)。治疗组膝关节ROM疗效总有效率为90.5%,显著高于对照组47.6%,差异有统计学意义(P<0.05)。治疗前,2组Holden评分比较,差异无统计学意义(P>0.05)。治疗后,2组Holden评分较治疗前升高,且治疗组高于对照组,差异均有统计学意义(P<0.05)。结论:拮抗针法结合任务导向性训练治疗脑卒中后膝过伸疗效优于常规针刺结合康复治疗。

    Abstract:

    To observe the clinical effect of task-oriented training combined with antagonistic acupuncture for post-stroke genu recurvatum so as to obtain the new combination therapy regimen for improving genu recurvatum in the hemiplegic side of patients, thus to promote their activities of daily living.Methods: Selected 42 cases of post-stroke patients with genu recurvatum,and divided them into the control group and the treatment group randomly,21 cases in each group.The treatment group received acupuncture in the antagonistic muscle combined with task-oriented rehabilitation therapy,while the control group received common acupuncture combined with task-oriented rehabilitation therapy.Evaluated the clinical effect of patients in both groups according to functional ambulation category scale,Loudon's method of diagnosing genu recurvatum and knee-joint ROM evaluation,and observed the improvements of genu recurvatum in patients after 4 weeks of treatment.Results:The total effective rate of genu recurvatum according to Loudon was 76.2%in the treatment group,being significantly higher than 28.6%in the control group,difference being significant(P< 0.05).The total effective rate of genu recurvatum according to ROM was 90.5%in the treatment group,being significantly higher than 47.6%in the control group,difference being significant(P < 0.05).Before treatment,comparing the Holden scores in both groups,there was no significant difference being found(P > 0.05).After treatment,the Holden scores in both groups were higher than those before treatment,and the Holden score in the treatment group was higher than that in the control group,differences being significant(P<0.05).Conclusion:Antagonistic acupuncture combined with task-oriented training has better therapeutic effect than routine acupuncture combined with rehabilitation therapy in treating post-stroke genu recurvatum.

    参考文献
    相似文献
    引证文献
引用本文

曹建平,蔡礼松,戴方瑜,史优波,马睿杰.任务导向性训练结合拮抗针法治疗脑卒中后膝过伸临床研究[J].新中医,2019,51(10):238-241

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2019-10-11
  • 出版日期: