绳带疗法联合PNF技术对脑卒中患者步行功能的效果分析

柳忠; 龙耀斌; 梁天佳; 黄福才; 莫明玉; 宁育艺; 杜灿荣

doi:10.16190/j.cnki.45-1211/r.2023.12.022

绳带疗法联合PNF技术对脑卒中患者步行功能的效果分析

广西医科大学第二附属医院康复医学科, 南宁 530007

基金项目:

广西壮族自治区医疗卫生重点学科建设资助项目（No.桂卫科教发[2022]4号）；广西壮族自治区卫生健康委员会自筹经费科研课题资助项目（No.Z-A20220647）；广西医疗卫生适宜技术开发与推广应用项目（No.S2019010）

详细信息

通讯作者:
龙耀斌,E-mail:long232316@163.com。

中图分类号: R493
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出版历程
- 收稿日期: 2022-07-10
- 网络出版日期: 2024-01-30

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

Department of Rehabilitation Medicine, the Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, China

摘要

摘要 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。
- 绳带疗法 /
- 本体感觉神经肌肉促进技术 /
- 脑卒中 /
- 步行功能
Abstract Objective: To observe the clinical effect of rope therapy combined with proprioceptive neuromuscular facilitation(PNF) technique on walking ability of stroke patients. Methods: A total of 60 stroke patients hospitalized in the Rehabilitation Medicine Department of the Second Affiliated Hospital of Guangxi Medical University 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 received conventional rehabilitation therapy, the conventional group only received conventional walking rehabilitation training, the PNF group received PNF hand skill training on the basis of conventional training, and the combined 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 hemiplegia can be further improved by the intervention of rope therapy on the basis of conventional rehabilitation training and PNF technique training.
- rope therapy /
- proprioceptive neuromuscular facilitation technique /
- stroke /
- walking ability

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施引文献(3)

期刊类型引用(3)

1.	张鹏，刘叶，王中智. PNF对脑卒中偏瘫患者下肢运动及自动态平衡功能的影响. 中国医学创新. 2025(07): 73-76 . 百度学术
2.	黄美松. 本体感觉神经肌肉促进技术联合重复经颅磁刺激对缺血性脑卒中上肢功能障碍患者的影响. 中国医学创新. 2025(08): 6-10 . 百度学术
3.	梁天佳，龙耀斌，陆丽燕，周金英，黄福才，黄林鹏，邬映超，龙耀翔，韦小翠，柳忠. 绳带辅助本体感觉神经肌肉促进技术训练联合绳带辅助脑机接口训练对脑卒中偏瘫上肢康复效果的随机对照试验. 中国康复理论与实践. 2024(08): 972-978 . 百度学术