Thera-band弹力带结合神经肌肉促通技术对偏瘫患者的影响

目的:观察偏瘫患者使用Thera-band弹力带进行两种上肢神经肌肉促通技术(PNF)短时训练时的疗效。方法:脑卒中偏瘫患者28例,测试其训练前安静站立、健手带动患手(方法一)和仅健手(方法二)使用Thera-band弹力带进行PNF D2伸模式训练后足底压力及站位平衡的变化。结果:方法二的患足前半足、整足平均压力低于方法一(P0.05),压力中心偏移的椭圆轨迹长度、椭圆轨迹包络面积高于方法一(P0.05)。结论:方法一较方法二对提高患者患侧前足的受力、增加患侧的整体足底压力、调整身体平衡的改善效果更好。

Effects of Proprioceptive Neuromuscular Facilitation Combined with Thera-band on Hemi-plegic Patients

Objective: To investigate the hemiplegic patient’s variation of stance balance by upper limb's proprio-ceptive neuromuscular facilitation (PNF) exercises with Thera-band. Methods: The plantar pressure and variation of stance balance of 28 stroke hemiplegicpatientswere tested before and after exercised with PNFD2 extension by using unaffected hand mobilizing affected hand with Thera-band (method 1) and using unaffected hand only (method 2).Results: The forefoot pressure and whole foot pressure of affected foot inthe patients exercised with method 2 were lower than that in the patients exercised with method 1(P<0.05). The length and area of ellipse trace were higher in the patients exercised with method 2 than that in the patients exercised with method 1(P<0.05). Conclusion: Method 1 showed better effect than method 2 on the improvement on forces on forefoot of affected side, whole plantar pressure of the affected foot and adjustment of body balance.