神经松动术对偏瘫患者下肢运动功能的影响

2011年1月～2012年8月在我科收治的痛风性关节炎急性发作患者52例，均符合美国风湿病协会制定的诊断标准，随机分为2组各26例，①观察组，男24例，女2例；年龄37～69岁；病程1周～18年。②对照组，男25例，女1例；年龄34～71岁；病程2d～18．5年。2组一般资料比较差异无统计学意义。2组均口服秋水仙碱、非甾体类等药物并配合中药金黄散（按蜂蜜：醋：金黄散=1：1：2配制为糊状）外敷于患处，每日2次，每次外敷6～8h后撤下金黄散纱布，同时控制饮食；

Effects of nerve mobilization techniques on lower limb movement function in patients with hemiplegia

Objective:To explore the effect of nerve mobilization techniques on lower limb movement function in patients with hemiplegia.Methods:Forty cases of patients with hemiplegia were randomly divided into two groups,20 patients in each group.Both groups were treated with conventional drugs and rehabilitation training,and observation group given peripheral nerve mobilization techniques of lower limb additionally.10-m maximum walking speed,lower limb Fugle-Meyer assessment (FMA) on the hemiplegia side,the hamstrings and tibialis anterior muscle maximum isometric contraction EMG signal values (iEMG) were measured before and after treatment.Results:After treatment for 12 weeks,10-m maximum walking speed,FMA scores,and the hamstrings and tibialis anterior muscle iMEG were obvioulsy increased in both groups as compared with pretreatment (P<0.05),more significantly in observation group than in control group (P<0.05).Conclusion:Nerve mobilization techniques can obtain more satisfactory effects in restoring lower limb movement function of patients with hemiplegia.