| 杨凡慧,韦洪涛,洪军文,钱文林.本体感觉神经肌肉促进技术联合空气波压力疗法在脑卒中偏瘫患者肢体功能康复中的应用研究[J].中国康复,2026,41(8):473-477 |
| 本体感觉神经肌肉促进技术联合空气波压力疗法在脑卒中偏瘫患者肢体功能康复中的应用研究 |
| Application of proprioceptive neuromuscular facilitation combined with air wave pressure therapy in limb function rehabilitation of patients with hemiplegia after stroke |
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| DOI：10.3870/zgkf.2026.08.005 |
| 中文关键词: 脑卒中偏瘫 本体感觉 空气波压力 肢体功能 生活能力 |
| 英文关键词: stroke hemiplegia proprioception air wave pressure limb function living ability |
| 基金项目:2022年度安徽省卫生健康科研项目（AHWJ2022a037） |
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| 中文摘要: |
| 目的：分析本体感觉神经肌肉促进技术（PNF）+空气波压力疗法对脑卒中偏瘫（AH）治疗的效果，及对患者肢体功能、平衡功能等的影响。方法：纳入AH患者81例，随机分为研究组41例和对照组40例。对照组给予PNF疗法，研究组给予PNF与空气波压力疗法。干预前及干预6周后，评价2组肢体功能、平衡功能、运动耐力、脑血流动力学及生活能力。结果：治疗后，2组肢体Fugl-Meyer运功功能量表（FMA）评分、运动功能状态量表（MSS）评分、Berg平衡功能量表（BBS）评分较治疗前显著升高（P<0.05），且研究组高于对照组（P<0.05）；治疗后2组6min步行距离测试（6MWT）、大脑中动脉血流速度（MCA-Vm）、基底动脉血流速度（BA-Vm）、前动脉血流速度（ACA-Vm）、改良Barthel指数（MBI）较治疗前均升高（P<0.05），且研究组高于对照组（P<0.05）；治疗后2组10m步行时间测试（10MWT）水平较治疗前降低（P<0.05），且研究组低于对照组（P<0.05）。结论：AH患者接受PNF联合空气波压力疗法共同治疗，对肢体功能恢复具有显著效果，能有效提升机体平衡能力、肢体功能、运动耐力，显著增强患者自理能力，整体干预效果较为理想。 |
| 英文摘要: |
| Objective: To analyze the therapeutic effect of proprioceptive neuromuscular facilitation (PNF) combined with air wave pressure therapy on apoplectic hemiplegia (AH), as well as its influences on limb function, balance function, etc. Methods: All 81 patients with AH were included and randomly grouped. The control group was given PNF, while the study group was given PNF combined with air wave pressure therapy. After 6 weeks of intervention, the limb function, balance function, exercise endurance, cerebral hemodynamics, and living ability were evaluated. Results: After treatment, the scores in the limb Fugl-Meyer assessment (FMA), motor function status scale (MSS), and Berg balance scale (BBS) in the two groups were significantly higher than those before treatment (P<0.05), and the scores in the study group were higher than those in the control group (P<0.05). After treatment, the 6-minute walk distance test (6 MWT), middle cerebral artery blood flow velocity (MCA-Vm), basilar artery blood flow velocity (BA-Vm), anterior cerebral artery blood flow velocity (ACA-Vm), and modified Barthel index (MBI) of the two groups were higher than those before treatment (P<0.05), and those in the study group were higher than in the control group (P<0.05). After treatment, the 10-meter walk test (10 MWT) level in the two groups was lower than that before treatment (P<0.05), and that in the study group was lower than that in the control group (P<0.05). Conclusion: The combined treatment of PNF and air wave pressure therapy for AH patients has a prominent effect on the recovery of limb function. It can effectively improve the body’s balance ability, limb function, and exercise endurance, obviously enhance the patient’s self-care ability, and has a relatively ideal overall intervention effect. |
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