Bobath、Rood及PNF技术对脑血管病偏瘫痉挛的康复疗效观察

目的:观察Bobath、Rood及PNF技术对脑血管病偏瘫痉挛患者的康复疗效。方法:选取2017年8月~2018年10月阳江市人民医院神经内、外科及康复科收治的脑血管病偏瘫痉挛患者108例,随机分为Bobath技术组、Rood技术组、PNF技术组以及对照组各27例,四组均进行基础治疗4周,三组技术组患者分别进行相应的抑制降低痉挛的康复训练,采用MAS、FMA、MBI对患者治疗前、后进行评定。结果:Bobath技术组、Rood技术组、PNF技术组肌张力总有效率均高于对照组(P<0.05)。治疗后,四组患者FMA、MBI评分均较治疗前明显提高(P<0.05);Bobath技术组、Rood技术组、PNF技术组FMA、MBI评分均高于对照组(P<0.05),三组间FMA、MBI评分差异无统计学意义(P>0.05)。结论:早期介入Bobath技术、Rood技术或PNF技术都可以降低脑血管病偏瘫痉挛患者的肌张力,促进偏瘫侧运动功能的恢复,提高ADL功能,改善预后;三种康复技术对脑血管病偏瘫痉挛患者的康复疗效无明显差异,在临床实践中可根据实际情况灵活选用。

Effect of Bobath,Rood and PNF on the Rehabilitation of Cerebrovascular Spasm

Objective:To observe the curative effect of Bobath,Rood and PNF technique on the rehabilitation of patients with cerebral vascular disease with paroxysmal spasm.Methods:From August 2017 to October 2018,108 patients with hemiplegic spasm of cerebrovascular disease treated in the Department of Neurology,surgery and Rehabilitation of Yangjiang People’s Hospital were randomly divided into Bobath technical group,Rood technical group,PNF technical group and control group,each group 27 case.The four groups all performed basic treatment for 4 weeks.The three groups of technical group patients respectively performed corresponding rehabilitation training to suppress and reduce spasms.MAS,FMA,and MBI were used to evaluate the patients before and after treatment.Results:The total effective rate of muscle tension in Bobath group,Rood group and PNF group was higher than that in control group(P<0.05);After treatment,the scores of FMA and MBI of four groups were significantly increased(P<0.05),the FMA,MBI scores of Bobath technical group,Rood technical group and PNF technical group were higher than those of control group(P<0.05),there was no significant difference in FMA,MBI score among the three groups(P>0.05).Conclusion:Early intervention in Bobath technology,Rood technology,or PNF technology can reduce muscle tension in patients with cerebral vascular disease,promote the recovery of hemiplegia lateral motor function,improve ADL function,and improve prognosis;There is no significant difference in the rehabilitation effect of the three rehabilitation techniques for patients with cerebrovascular disease with paroxysmal spasm.