本体感觉神经肌肉促进技术对脑卒中患者平衡功能的影响

目的探讨在社区康复治疗中应用本体感觉神经肌肉促进技术(PNF)对脑卒中患者平衡功能的影响。方法204 例脑卒中患者分为对照组(n=98)和观察组(n=106)，对照组接受常规康复治疗，观察组在此基础上应用PNF。治疗前和治疗3 个月后分别采用Fugl-Meyer 下肢运动功能评定(FMA)、Berg 平衡量表(BBS)和静态平衡测定仪进行评定。结果治疗后两组FMA及BBS 评分均较治疗前提高(P<0.05)，且观察组高于对照组(P<0.05)；在睁眼与闭眼模式下，观察组轨迹长度、轨迹总面积、单位面积轨迹长均较对照组降低(P<0.05)。结论社区康复治疗中应用PNF 可提高脑卒中患者下肢运动功能和平衡功能。

Effect of Proprioceptive Neuromuscular Facilitation on Balance of Stroke Patients

Objective To explore the effect of proprioceptive neuromuscular facilitation(PNF) on balance function of stroke patients in community.Methods 204 stroke patients in community were divided into control group(n=98) and observation group(n=106).The control group accepted routine rehabilitation and the observation group received PNF additionally.Fugl-Meyer Assessment of lower extremities(FMA),Berg Balance Scale(BBS) and static balance locator were used to evaluate the motor and balance function before and 3 months after treatment.Results The scores of FMA and BBS were higher after treatment than before(P<0.05) in both groups,and were higher in observation group than in control group(P<0.05).The length of path(L),covered area(A) and L/A were less in observation than in control group(P<0.05) both in the eye-open and eye-closed modes.Conclusion PNF can improve the lower extremities motor and balance function of stroke patients in community.