学术论文

      渐进性全身垂直振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响

      Effects of progressive whole body vertical vibration on lower limb function and balance in acute cerebral infarction patients with hemiplegia

      摘要:
      目的:探讨一种渐进性全身振动治疗方案对缺血性脑卒中偏瘫早期患者下肢功能与平衡功能的影响.方法:选择符合入组条件的患者30例,随机分为对照组与垂直振动组.垂直振动组在常规康复治疗的基础上,进行渐进性全身垂直振动治疗方案;对照组在常规康复治疗的基础上,站在垂直振动平台,不开启振动治疗.一天1次,每次15min,每周5天,共3周.分别在治疗前后评估患侧下肢肌张力(股四头肌,小腿三头肌),Fugl-Meyer下肢功能,Berg平衡量表.结果:治疗前垂直振动组与对照组比较各指标间无显著性差异(P>0.05);与治疗前比较,治疗后两组患者的Fugl-Meyer下肢评分及Berg平衡均较治疗前显著提高(P< 0.05),下肢股四头肌及小腿三头肌肌张力均较治疗前增高(P<0.05).治疗前后差值比较,Fugl-Meyer下肢评分的差值无显著性意义(P>0.05),Berg平衡评分的差值有显著性意义(P<0.05),小腿三头肌肌张力差值变化有显著性意义(P< 0.05).结论:与常规康复治疗比较,3周全身垂直振动治疗对缺血性脑卒中偏瘫早期患者的下肢功能无显著改善,但能提高患者的平衡功能.
      Abstract:
      Objective:To explore effects of progressive whole body vertical vibration on lower limb function and balance in acute cerebral infarction patients with hemiplegia.Method:To choose 30 cases into control group and vertical vibration group randomly.Both groups took the traditional rehabilitation therapy and progressive whole body vertical vibration program.The control group stood on the vertical vibration platform with the machine turning off,while turning on for vibration group.Before and after training,both groups undertook the assessment of muscle tone,motor function of lower limbs and balance function.Result:There was no significant difference (P> 0.05) of demographic parameters between both groups during the baseline.Both groups got improvement in lower limb motor function of Fugl-Meyer and balance and muscle tone (P < 0.05).When comparing the different value after and before training program,there was no significant difference in lower limb motor scores of Fugl-Meyer and significant difference in balance and muscle tone of triceps surae(P < 0.05).Conclusion:Compared with traditional rehabilitation therapy,3 weeks vertical vibration couldn't improve the lower limb motor function,but improve the balance in acute hemiplegic stroke patients.
      作者单位: 江苏省人民医院(南京医科大学第一附属医院)康复医学中心,南京,210029
      刊 名: 中国康复医学杂志 ISTICPKU
      年,卷(期): 2017, 32(3)
      分类号: R743.3 R493
      在线出版日期: 2017年4月18日
      基金项目: 江苏省医学重点学科——康复医学