|
|
|
| Effect of local vibration therapeutic apparatus on lower limb spasticity and three-dimensional gait parameters in patients with hemiplegia |
| SHI Fang1 LI Fuliang1 LYU Zeping2 |
1.Department of Rehabilitation, Dongcheng District First People′s Hospital of Beijing, Beijing 100075, China;
2.Department of Neurology, Affiliated Rehabilitation Hospital of National Research Center for Rehabilitation Technical Aids, Beijing 100176, China |
|
|
|
Abstract Objective To explore the effect of local vibration therapeutic apparatus on lower limb spasticity and three-dimensional gait parameters in patients with hemiplegia. Methods A total of 82 patients with hemiplegia (stable and convalescent) admitted to the First People′s Hospital of Dongcheng District, Beijing from March 2018 to June 2019 were selected as study subjects. The patients were divided into control group and experimental group by random number table method, with 41 cases each group. The control group were given routine rehabilitation training, and on this basis, the experimental group were treated with local vibration therapeutic apparatus. The degree of lower limb spasticity was evaluated with the modified Ashworth scale (MAS) before and after treatment, and the three-dimensional gait parameters were compared between the two groups. At the same time, the simplified Fugl-Meyer assessment scale (FMA) was used to assess the patients′ lower extremity motor function, and the improved Barthel Index (MBI) was used to assess the patients′ daily activity ability. Results There were no significant differences in MAS scores, three-dimensional gait parameters, FMA scores or MBI scores between the two groups before treatment (P ＞ 0.05). After treatment, MAS scores of both groups were significantly lower than those before treatment, and those of the experimental group were significantly lower than those of the control group (P ＜ 0.05). Three-dimensional gait parameters (gait speed, stride frequency, stride length), FMA score and MBI score were all higher in the two groups than before treatment, and the experimental group was significantly higher than the control group (P < 0.05). Conclusion The application of local vibratory therapeutic apparatus in patients with hemiplegia has obvious effects in improving the degree of lower limb spasm, promoting the lower limb motor function and the ability of daily life activities, etc., and has certain clinical promotion and application advantages.
|
|
|
|
|
|
[1] 何俊，谈雪梅，彭冬祥，等.中药熏蒸与冲击波联合治疗脑卒中后偏瘫肩痛疼痛改善及上肢功能康复疗效观察[J].辽宁中医药大学学报，2018，26（5）：125-128.
[2] 李小强，周鸿飞.基于经筋理论中风后肢体痉挛偏瘫治疗探析[J].辽宁中医药大学学报，2018，20（12）：135-137.
[3] 孔莉，林智.脑卒中后偏瘫患者肢体痉挛的家庭康复治疗[J].中国康复，2019，25（9）：455-457.
[4] 黄宗菊，黄平.温针灸对中风后痉挛性偏瘫患者运动功能的改善作用[J].四川中医，2018，36（6）：184-186.
[5] 陈钊德，龙耀斌，梁天佳，等.局部振动对脑卒中后偏瘫患者上肢痉挛和功能障碍的影响[J].中华物理医学与康复杂志，2015，37（8）：600-601.
[6] 中华神经科学会，中华神经外科学会.各类脑血管病诊断要点[J].中华神经内科杂志，1996，29（5）：379-380.
[7] 郭壮丽，汤乃苏，伊传建，等.超声引导下肉毒毒素注射治疗下肢痉挛状态的表面肌电分析[J].中华神经外科杂志，2019，35（1）：34-38.
[8] 金辉，李淑春，马廷健，等.三维步态分析仪对中医经筋疗法治疗膝关节置换术后疗效的研究[J].长春中医药大学学报，2019，16（3）：491-493.
[9] 黄宗菊，黄平.温针灸对中风后痉挛性偏瘫患者运动功能的改善作用[J].四川中医，2018，3（6）：184-186.
[10] 谭世威，刘金明，马艳，等.A型肉毒毒素联合踝足矫形器治疗卒中后足内翻的疗效观察[J].中华物理医学与康复杂志，2018，40（9）：674-677.
[11] Boffa DJ. Local Option：The Rational Use of Local Therapy in Patients at High Risk to Die of Metastatic Progression [J]. J Oncol Pract，2018，14（6）：344-349.
[12] Obraztsova RG，Samokhvalova GN，Ilina MI，et al. Primary and secondary prophylaxis of vibration disease caused by local vibration in miners [J]. Med Tr Prom Ekol，2004（9）：32-35.
[13] 袁松，高峰，刘飞，等.局部振动疗法对慢性非特异性腰痛的疗效研究[J].中国康复，2018，33（3）：234-236.
[14] 吴超.局部振动训练对脑梗偏瘫患者上肢痉挛和功能康复的疗效分析[J].健康研究，2016，15（5）：539-541.
[15] Peer KS，Barkley JE，Knapp DM. The Acute Effects of Local Vibration Therapy on Ankle Sprain and Hamstring Strain Injuries [J]. Phys Sportsmed，2009，37（4）：31-38.
[16] 雷德宝，吴校林，朱锐，等.下肢机器人训练对脑卒中偏瘫患者三维步态分析系统测试结果的影响[J].临床和实验医学杂志，2019，15（12）：1323-1327.
[17] 王广洲，任明芬.脑卒中偏瘫患者康复治疗中肌电F波的变化与运动障碍的关系[J].卒中与神经疾病，2019， 21（4）：419-422.
[18] 黄亚琴，何成奇，杨永红，等.局部振动治疗对脊髓损伤患者下肢痉挛及自理能力的疗效分析[J].中国康复，2015， 30（4）：271-273.
[19] 席建明，门薇，刘承梅，等.局部肌肉振动疗法对偏瘫患者步行及平衡功能的临床疗效[J].中国康复，2019，34（8）：411-413.
[20] 袁小敏，琚红艳.重复局部肌肉振动疗法对脑卒中偏瘫早期患者上肢功能恢复的效果[J].中国康复理论与实践，2018，24（8）：77-80. |
|
|
|
