基于悬吊疗法的神经肌肉激活技术对脑卒中偏瘫患者运动功能的影响

目的 探讨基于悬吊疗法的神经肌肉激活技术对脑卒中偏瘫患者躯干控制、步态以及平衡等运动功能的临床应用疗效。方法 选取2019年1—11月于湖南省人民医院康复医学科住院的80例脑卒中偏瘫患者，采用随机数字表法分为对照组和观察组，各40例。对照组采用常规康复训练，观察组采用基于悬吊疗法的神经肌肉激活技术训练。训练前后评定患者的平衡、躯干控制、下肢运动功能、平衡和生活质量以及行走过程中下肢的步态时空参数。结果 观察组治疗后的平衡能力、躯干控制能力、下肢运动功能和步行功能[(37.61±4.36)分、(83.41±8.61)分、(80.71±9.19)分、(3.86±0.23)分]均高于对照组[(34.86±4.11)分、(76.83±7.36)分、(72.37±9.57)分、(3.66±0.34)分，均P<0.05];观察组生活质量得分均高于对照组(均P<0.05);步态时空参数的步速、步频和跨步长均大于对照组(均P<0.05);跨步时间和支撑相占比均低于对照组(均P<0.05)。结论 基于悬吊疗法的神经肌肉激活技术可有效优化脑卒中偏瘫患者的步态功能，改善其躯干控制能力...

Effect of neuromuscular activation technology based on suspension therapy on motor function of stroke patients with hemiplegia

  Objective  To explore the clinical effect of neuromuscular activation technology based on suspension therapy on motor functions such as trunk control, gait and balance in stroke patients with hemiplegia.  Methods  A total of 80 patients with hemiplegia after stroke hospitalized in the Rehabilitation Medicine Department of Hunan Provincial People's Hospital from January to November 2019 were randomly divided into control group and observation group, with 40 cases in each group. The control group was received routine rehabilitation training, while the observation group was given neuromuscular activation technology based on suspension therapy. The patients' balance, trunk control, lower limb motor function, balance, quality of life, as well as the temporal and spatial parameters of lower limb gait during walking were evaluated before and after training.  Results  After treatment, the balance ability, trunk control ability, lower limb motor function and walking function in the observation group [(37.61±4.36) points, (83.41±8.61) points, (80.71±9.19) points, (3.86±0.23) points] were higher than those in the control group [(34.86±4.11) points, (76.83±7.36) points, (72.37±9.57) points, (3.66±0.34) points, all P < 0.05]. The scores of quality of life in the observation group were higher than those in the control group (all P < 0.05). The gait speed, gait frequency and stride length of gait spatiotemporal parameters in the observation group were higher than those in the control group (all P < 0.05). The stride period and the proportion of support phase in the observation group were lower than those in the control group (all P < 0.05).  Conclusion  The neuromuscular activation technology based on suspension therapy can effectively optimize the gait function of stroke patients with hemiplegia, improve their trunk control ability, balance ability, walking ability and quality of life, which is worthy of clinical promotion.