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TheraSling 疗法(TST)联合神经肌肉易化技术治疗脑卒中偏瘫步态。

TheraSling Therapy (TST) Combined with Neuromuscular Facilitation Technique on Hemiplegic Gait in Patients with Stroke.

机构信息

Department of Neurology, Ruian People's Hospital, Ruian, Zhejiang, China (mainland).

Department of Emergency, Zhuji People's Hospital of Zhejiang Province, Zhuji, Zhejiang, China (mainland).

出版信息

Med Sci Monit. 2019 Jun 27;25:4766-4772. doi: 10.12659/MSM.916995.

DOI:10.12659/MSM.916995
PMID:31244487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6611218/
Abstract

BACKGROUND TheraSling therapy (TST) is a kind of rehabilitation therapy for patients with stroke in order to improving neural function. The aim of this study was to evaluate the clinical efficacy of TST combined with neuromuscular facilitation technique on hemiplegic gait in patients with stroke. MATERIAL AND METHODS Fifty-six patients with abnormal gait after stroke were recruited for this study and assigned randomly to either the control group (n=28) or the TST experiment group (n=28). Patients in the 2 groups all received neuromuscular facilitation technique treatment. In addition, patients in the TST experiment group were received TST. Treatments were 45 minutes a day for 6 weeks. RESULTS The functional ambulation category (FAC) score, improved Barthel index, Fugl-Meyer assessment (FMA), Berg balance scale (BBS), and 10 meters walking time and step length were significantly improve in both the TST experiment group and the control group after 6 weeks of treatment with a statistical difference (P<0.05). And the aforementioned indices in the TST experiment group after treatment were significantly higher than those of control group (P<0.05). CONCLUSIONS Lower extremity motor function and quality of life were significantly improved by TST combined with neuromuscular facilitation technique. However, the study had a small sample size, thus, further multicenter well-designed prospective randomized controlled trials are needed to confirm our findings.

摘要

背景

TheraSling 疗法(TST)是一种针对中风患者的康复治疗方法,旨在改善神经功能。本研究旨在评估 TST 联合神经肌肉促进技术对中风后偏瘫步态的临床疗效。

材料与方法

本研究纳入了 56 例步态异常的中风患者,并将其随机分为对照组(n=28)和 TST 实验组(n=28)。两组患者均接受神经肌肉促进技术治疗。此外,TST 实验组患者还接受 TST 治疗。治疗时间为每天 45 分钟,持续 6 周。

结果

治疗 6 周后,TST 实验组和对照组的功能性步行能力分类(FAC)评分、改良巴氏指数、Fugl-Meyer 评估(FMA)、Berg 平衡量表(BBS)以及 10 米步行时间和步长均显著提高,差异有统计学意义(P<0.05)。治疗后 TST 实验组上述指标明显高于对照组(P<0.05)。

结论

TST 联合神经肌肉促进技术可显著改善下肢运动功能和生活质量。然而,本研究样本量较小,因此需要进一步开展多中心、设计良好的前瞻性随机对照试验来验证我们的发现。

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本文引用的文献

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Effects of gait training with non-paretic knee immobilization on patients with hemiplegia: Three single-case studies.非瘫痪侧膝关节固定的步态训练对偏瘫患者的影响:三项单病例研究。
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Effects of mirror therapy combined with neuromuscular electrical stimulation on motor recovery of lower limbs and walking ability of patients with stroke: a randomized controlled study.
镜像疗法联合神经肌肉电刺激对脑卒中患者下肢运动功能恢复及步行能力的影响:一项随机对照研究。
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Changes in Gait Symmetry After Training on a Treadmill with Biofeedback in Chronic Stroke Patients: A 6-Month Follow-Up From a Randomized Controlled Trial.慢性卒中患者在带生物反馈的跑步机上训练后步态对称性的变化:一项随机对照试验的6个月随访
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The effects of a progressive resistance training program on walking ability in patients after stroke: a pilot study.渐进性抗阻训练计划对中风后患者步行能力的影响:一项初步研究。
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The effects of Bobath-based trunk exercises on trunk control, functional capacity, balance, and gait: a pilot randomized controlled trial.基于Bobath法的躯干训练对躯干控制、功能能力、平衡和步态的影响:一项前瞻性随机对照试验。
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