张力平衡针法对脑卒中下肢功能及独立生活能力的影响 |
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引用本文: | 娄必丹,章薇,刘智,李金香,黄洁,谭朝坚,余兆安. 张力平衡针法对脑卒中下肢功能及独立生活能力的影响[J]. 中国康复, 2012, 27(4): 255-256 |
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作者姓名: | 娄必丹 章薇 刘智 李金香 黄洁 谭朝坚 余兆安 |
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作者单位: | 湖南中医药大学第一附属医院针灸推拿康复科 |
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基金项目: | 国家中医药管理局中医临床诊疗技术整理与研究项目(2001ZL36) |
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摘 要: | 目的:观察张力平衡针法对脑卒中患者下肢功能及独立生活能力的影响。方法:脑卒中痉挛患者70例,随机分为张力平衡针法组(研究组)和传统针法组(对照组)各35例。研究组采用张力平衡针法治疗,对照组采用传统针法治疗。治疗前后评定2组患者下肢肌张力、痉挛指数(CSI)、足下垂内翻程度、Fugl-Meyer及FIM运动功能。结果:治疗30d后,2组改良的Ashworth、下肢FMA及FIM评分均明显高于治疗前(P<0.01),且研究组更高于对照组(P<0.01,0.05);2组CSI评分、足下垂及内翻角度均低于治疗前(P<0.01),且研究组更低于对照组(P<0.01,0.05)。结论:张力平衡针法能显著改善脑卒中痉挛瘫痪患者下肢运动功能,并提高其独立生活能力。
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关 键 词: | 脑卒中 张力平衡针法 传统针刺法 |
Effects of tension balance acupuncture on the lower limb function and ability to live independently in the post-stroke patients with spastic paralysis |
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Affiliation: | LOU Bi-dan,ZHANG Wei,LIU Zhi,et al.Department of Traditional Chinese Medicine and Rehabilitation Medicine,the First Affiliated Hospital,Hunan University of Traditional Chinese Medicine,Changsha 410007,China |
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Abstract: | Objective:To observe the effects of tension balance acupuncture on the lower limb function and ability to live independently in the post-stroke patients with spasm.Methods: Seventy cases of post-stroke spastic patients were randomly divided into treatment group receiving tension balance acupuncture(n=35) and control group given traditional acupuncture(n=35).Revised Ashworth scale,CSI index,the degree of foot drop or strephenopodia,Fugl-Meyer and FIM scale of lower limb muscle were assessed before and after the treatment.Results: After treatment for 30 days,revised Ashworth scores,Fugl-Meyer and FIM scores in both groups were increased as compared with those before treatment(P<0.01),more significantly in treatment group than in control group(P<0.01,or P<0.05).CSI index,and the degree of foot drop or strephenopodia in both groups after treatment were reduced as compared with those before treatment(P<0.01),more significantly in treatment group than in control group(P<0.01,or P<0.05).Conclusion: Tension balance acupuncture can significantly improve lower extremity motor function of stroke patients with spastic paralysis and enhance independent ability of life. |
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Keywords: | stroke tension balance acupuncture traditional acupuncture |
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