本体神经促进技术预防脑卒中患者膝过伸的疗效观察①.pdfVIP

- 1062 - 中国康复理论与实践2011年11月第17卷第11期ChinJRehabilTheoryPract,Nov.2011,Vol.17,No.11 ·临床研究· 本体神经促进技术预防脑卒中患者膝过伸的疗效观察① 金冬云，谭同才，叶祥明 [摘要] 目的 观察本体神经促进技术(PNF)对预防脑卒中患者膝过伸的疗效。方法 60 例脑卒中患者分为治疗组和对照组各 30 例，均给予药物及常规康复治疗，治疗组另行膝关节闭链PNF 训练。结果 治疗3 个月后，治疗组发生膝过伸患者7 例，对照 组18例(P0.01) ；治疗组起立-行走计时较对照组明显缩短(P0.01) 。结论 早期对患者膝关节进行PNF 训练可以减少膝过伸的发 生，提高步行功能。 [关键词] 脑卒中；本体神经促进技术；膝过伸；步行功能 Proprioceptive Neuromuscular Facilitation Prevent Knee Hyperextension in Patients with Stroke JIN Dong-yun, TAN Tong-cai, YE Xiang-ming. Department of Rehabilitation Medicine, Zhejiang Province Peoples Hospital, Hangzhou 310024, Zhejiang, China Abstract: Objective To study the effect of proprioceptive neuromuscular facilitation (PNF) on knee hyperextension in patients with stroke. Methods 60 patients with stroke were divided into treatment and control groups (30 cases each group). Both groups accepted medi- cine and routine rehabilitation, while the treatment group accepted PNF of knee additionally. Results The incidence of knee hyperextension was 7 (23.3%) in treatment group and 18 (60.0%) in control group (P0.01) 3 months after treatment. The timed up go improved more in the treatment group than in the control (P0.01). Conclusion PNF of the knee at early stage of stroke can prevent knee hyperextension and improve the walking. Key words: stroke; proprioceptive neuromuscular facilitation; knee hyperextension; walking [中图分类号] R743.3 [文献标识码] A [文章编号] 1006-9771(2011) 11- 1062-02 [本文著录格式] 金冬云，谭同才，叶祥明.本体神经促进技术预防脑卒中患者膝过伸的疗效观察[J].中国康复理论与实践,2011, 17( 11): 1062—1063. 导致脑卒中患者步行功能下降有诸多因素，其中 例，平均年龄(48.6± 12.5)岁；脑梗死18例，脑出血12 膝关节过伸是一个比较重要的原因。膝过伸一般是代 例；对照组30 例，其中男性17 例，女性13 例；平均 偿性改变，多见于支撑相早期。常见的诱因包括支撑 年龄(48.9± 13.1