神经松动术对早期脑卒中偏瘫患者上肢功能的影响

目的研究神经松动术对脑卒中患者早期上肢功能康复的效果。方法43例脑卒中偏瘫患者，年龄45～76岁，随机分为研究组22例和对照组21例，两组均采用常规康复治疗，研究组同时运用神经松动术进行治疗。治疗前、治疗后3周分别采用上肢Fugl-Meyer量表（FMA）、简易上肢功能检查（STEF）评价患者的上肢运动功能。结果研究组、对照组治疗3周后上肢FMA评分分别为（52．41±2．27）分、（39．48±4．42）分；STEF评分分别为（59．41±3．02）分、（47．73±2．62）分，比较差异有显著性（p〈0．05），研究组患者治疗后效果较治疗前有显著提高（P〈0．01）。结论神经松动术结合康复治疗对脑卒中偏瘫患者早期上肢功能恢复有较好的治疗效果。

Impact of neural mobilization on upper limb function in stroke patients with hemiplegia

Objective To explore the efficacy of neural mobilization on the early recovery of upper limb function in stroke patients. Methods 43 stroke patients with hemiplegia, aged 45-76 (mean 63. 40 ±7.52), were randomly assigned to receive conventional rehabilitation treatment plus neural mobilization (22 patients, study group), or conventional rehabilitation treatment alone (21 patients, control group). Fugl Meyer Assessment (FMA) and simple upper limb function test (STEF) were used to evaluate the motor function of the upper limbs before treatment and 3 weeks after treatment. Results There were no signifi cant differences in the scores for FMA and STEF between the two groups before treatment (P>0.05); however, the scores for both assessments differed 3 weeks after treatment (P<0.05), but the efficacy of combination therapy was better than that of conventional treatment alone (P<0.05). Conclusions Neural mobilization combined with rehabilitation therapy has a better efficacy in the early recovery of the upper limb function in stroke patients with hemiplegia.