Klimkiewicz Paulina, Kubsik Anna, Jankowska Agnieszka, Woldańska-Okońska Marta
Klinika Rehabilitacji i Medycyny Fizykalnej USK im. WAM, Kierunek Fizjoterapii Wydziału Wojskowo-Lekarskiego Uniwersytetu Medycznego w Łodzi.
Pol Merkur Lekarski. 2013 Nov;35(209):268-71.
The ischemic stroke is a disease of the central nervous system. Up until today there have been very few scientific findings concerning the most effective methods of patients rehabilitation. The authors of this article present two groups of patients after ischemic stroke who were rehabilitated with use of the following methods: kinesiotherapy combined with PNF (proprioceptive neuromuscular facilitation) method and kinesiotherapy only. The aim of this study was to assess the impact of kinesiotherapy only and PNF method combined with kinesiotherapy on the functional state and muscle tone in patients after ischaemic stroke.
The study involved a group of 30 patients after ischaemic stroke. Patients were divided into two groups, each of them comprising 15 people. Group I was rehabilitated with the use of kinesiotherapy exercise and group II with the use of kinesiotherapy exercise combined with PNF method. To evaluate the patient before and after rehabilitation muscle tone Asworth scale was used and to assess functional status Rivermed Motor Assessment (RMA) scale was used.
Both in group I and II an improvement in muscle tone and functional status were noted. Better results were observed in group II in which patients were rehabilitated with the use of kinesiotherapy exercise combined with PNF method. All results in group I and II displayed a statistically significant improvement in functional status and muscle tone.
The use of the classical kinesiotherapy only had a noticeably smaller impact on improvement of functional status and muscle tone in patients from group I than the use of both: classical kinesiotherapy and PNF method which were employed in group II.
缺血性中风是一种中枢神经系统疾病。直到今天，关于患者最有效康复方法的科学发现仍然很少。本文作者介绍了两组缺血性中风后的患者，他们采用以下方法进行康复治疗：运动疗法结合本体感觉神经肌肉促进法（PNF）和单纯运动疗法。本研究的目的是评估单纯运动疗法以及PNF方法与运动疗法相结合对缺血性中风患者功能状态和肌张力的影响。
该研究纳入了一组30例缺血性中风后的患者。患者被分为两组，每组15人。第一组采用运动疗法进行康复，第二组采用运动疗法结合PNF方法进行康复。为了评估康复前后患者的肌张力，使用了阿什沃思量表，为了评估功能状态，使用了Rivermed运动评估（RMA）量表。
第一组和第二组患者的肌张力和功能状态均有改善。在采用运动疗法结合PNF方法进行康复的第二组中观察到了更好的结果。第一组和第二组的所有结果在功能状态和肌张力方面均显示出统计学上的显著改善。
仅使用传统运动疗法对第一组患者功能状态和肌张力改善的影响明显小于第二组所采用的传统运动疗法和PNF方法两者结合的影响。
