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基于本体感觉神经肌肉促进法的训练方案对脑卒中后运动恢复的影响:一项初步研究。

Effects of a training program based on the proprioceptive neuromuscular facilitation method on post-stroke motor recovery: a preliminary study.

作者信息

Ribeiro Tatiana Souza, de Sousa e Silva Emília Márcia Gomes, Sousa Silva Wagner Henrique, de Alencar Caldas Vescia Vieira, Silva Diana Lídice Araújo, Costa Cavalcanti Fabrícia Azevedo, Lindquist Ana Raquel Rodrigues

机构信息

Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Av. Senador Salgado Filho, 3000, Post Office Box: 1524, Natal, Rio Grande do Norte 59072-970, Brazil.

Department of Physical Therapy, Federal University of Rio Grande do Norte (UFRN), Av. Senador Salgado Filho, 3000, Post Office Box: 1524, Natal, Rio Grande do Norte 59072-970, Brazil.

出版信息

J Bodyw Mov Ther. 2014 Oct;18(4):526-32. doi: 10.1016/j.jbmt.2013.12.004. Epub 2013 Dec 11.

Abstract

This preliminary study sought to analyze the effects of a training program based on the Proprioceptive Neuromuscular Facilitation (PNF) method on motor recovery of individuals with chronic post-stroke hemiparesis. Eleven individuals with chronic hemiparesis (mean lesion time of 19.64 months) after unilateral and non-recurrent stroke underwent training based on PNF method for twelve sessions, being evaluated for motor function - using the Stroke Rehabilitation Assessment of Movement (STREAM) instrument; functionality, by the Functional Independence Measure (FIM); and gait kinematic (using the Qualisys Motion Capture System), at baseline and post-training. Significant changes in FIM (from median 67 to median 68; P = .043) and STREAM scores (from median 47 to median 55; P = .003) were observed. Data showed significant changes in motor function and functionality after training, suggesting that this program can be useful for rehabilitation of chronic stroke survivors.

摘要

这项初步研究旨在分析基于本体感觉神经肌肉促进法(PNF)的训练计划对慢性中风后偏瘫患者运动恢复的影响。11例单侧、非复发性中风后慢性偏瘫患者(平均损伤时间为19.64个月)接受了基于PNF方法的12次训练课程,在基线和训练后,使用运动中风康复评估(STREAM)工具对运动功能进行评估;通过功能独立性测量(FIM)评估功能;使用Qualisys运动捕捉系统评估步态运动学。观察到FIM(从中位数67到中位数68;P = 0.043)和STREAM评分(从中位数47到中位数55;P = 0.003)有显著变化。数据显示训练后运动功能和功能有显著变化,表明该计划对慢性中风幸存者的康复可能有用。

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