| 康复训练及A型肉毒毒素注射治疗脑卒中下肢肌痉挛 |
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| 引用本文： | 李巍巍,杨坚,张颖,乔蕾,范利.康复训练及A型肉毒毒素注射治疗脑卒中下肢肌痉挛[J].中国康复,2011,26(2):93-95. |
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| 作者姓名： | 李巍巍 杨坚 张颖 乔蕾 范利 |
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| 作者单位： | 上海市徐汇区中心医院康复科,上海,200031 |
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| 摘 要： | 目的：探讨康复训练结合A型肉毒毒素（BTX-A）注射对脑卒中后下肢肌痉挛患者肌张力、运动功能及步行能力的影响。方法：选择32例下肢伸肌痉挛,改良Ashworth痉挛量表（MAS）评定2～3级的脑卒中患者,随机分为综合组及对照组各16例。2组患者均对下肢痉挛肌群进行分点注射BTX-A。综合组在注射24 h后结合康复训练,包括神经发育技术、物理疗法及运动疗法等。2组治疗前后采用MAS评定下肢肌张力及Fugl-Meyer运动量表（FMA）评定下肢运动功能;并进行步速和步长测定。结果：BTX-A注射后1、6及12周时,2组患者MAS评分明显下降,FMA评分明显上升,步速和步长明显提高（均P〈0.05）。2组间比较,综合组表现更明显（P〈0.05）。结论：康复训练结合BTX-A注射可以显著降低脑卒中痉挛肢体的肌张力,提高运动功能和步行能力。
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| 关 键 词： | 康复训练 A型肉毒毒素 脑卒中 肌痉挛 |
Rehabilitation Training Combined with Botulinum Toxin A for Patients with Lower Limb Spasticity after Stroke |
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| LI Wei-wei,YANG Jian,ZHANG Ying,et al..Rehabilitation Training Combined with Botulinum Toxin A for Patients with Lower Limb Spasticity after Stroke[J].Chinese Journal of Rehabilitation,2011,26(2):93-95. |
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| Authors: | LI Wei-wei YANG Jian ZHANG Ying |
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| Institution: | LI Wei-wei,YANG Jian,ZHANG Ying,et al.Department of Rehabilitation Medicine,Shanghai Xuhui District Central Hospital,Shanghai 200031,China |
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| Abstract: | Objective: To investigate the effect of rehabilitation training combined with botulinum toxin A for patients with lower limb spasticity,movement dysfunction and disability to walk after stroke.Methods: Thirty-two patients with stroke were randomly divided into experimental group and control group,whose lower limb spasticity evaluated by Modified Ashworth Scale(MAS) was Ashworth level II-level III.The patients in experimental group received rehabilitation training combined with botulinum toxin A,and those in... |
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| Keywords: | rehabilitation training botulinum toxin A stroke spasticity |
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