脑卒中论文：脑卒中膝反张形成机制功能性电刺激

1、【中文摘要】1.探讨综合康复疗法对脑卒中后偏瘫患者膝反张的治疗效果；2.分析脑卒中后膝反张形成的机制。为临床上寻求一种更有效、综合的康复干预措施提供依据。方法选择符合入选标准的脑卒中后膝反张的患者41例,随机分成对照组20例和治疗组21例。两组患者均给予常规的药物治疗和康复训练，治疗组在此基础上给予综合康复疗法，即改善股四头肌胭绳肌小腿三头肌的肌力肌张力、促进伸屈肌的协调性训练、本体感觉恢复等。分别于治疗前、治疗4周后对膝反张的角度，踝关节被动背伸的角度，患侧股四头肌、胭绳肌肌力，股四头肌、腓肠肌肌张力，Barthel指数，下肢Fugl-Meyer运动功能进行评定。所有数据采用SPSS16.0

2、统计软件包进行统计分析。结果1.两组患者膝反张的角度均有明显改善，但治疗组与对照组比较差异有显著性(pv0.05);两组患者膝反张的纠正率均有明显改善，但治疗组与对照组比较差异有显著性(pv0.05);2.两组患者踝关节被动背伸的角度均有明显改善，但治疗组与对照组比较差异有显著性(pv0.05)；3.两组患者股四头肌、胭绳肌肌力，股四头肌、腓肠肌肌张力均有明显改善，但治疗组与对照组比较差异有显著性(p<0.05)；4.两组患者ADL能力均有明显改善，但治疗组与对照组比较差异有显著性(p<0.05)；5.两组患者下肢运动功能均较治疗前明显改善，但治疗组较对照组改善更为明显(p<

3、0.05)。结论1.综合康复疗法对脑卒中后膝反张的患者ADL能力、下肢运动功能的提高有明显改善作用，疗效确切；2.膝反张形成是多因素共同作用所致【英文摘要】s1.Todiscusstheinflueneeofintegrativerehabilitatentherapyontherecoveryofstrokewithgenureeurvatum;2.Analysisformationmechanismofthepatientswithgenurecurvatum.Tosumup,seekingamoreeffectivemethodtoimprovekneefunctionafterstro

4、ke.Methods41patientswithstrokewererandomlydividedinto2groups(controlgroupandtreatmentgroup).Therewere20patientsincontrolgroup.Therewere21patientsintreatmentgroup.Twogroupsofpatientswerebygivenconventionaltreatmentandrehabilitationofdrugs.Onthisbasis,thetreatmentgroupwasgivencomprehensiverehabilitati

5、ontherapy.Concludingimprovethemusclepowerandmuscletoneofthequadriceps,hamstring,triceps.Promotingextensorflexorstrengthandcoordinationtrainingandrestoringproprioception.Beforethetreatmentandafter4weekstreatmentevaluatetheangleofthegenurecurvatum,themuscletoneofthequadricepsandtriceps,Barthelindex,Fu

6、gl-Meyerlowerextremitymotorfunction.AlldatawereprocessedbySPSS16.0package.ResultsI.Twogroupsofpatientswithgenurecurvatumshowedsignificantimprovement,butthetreatmentgroupcomparedwiththecontrolgrouptherewassignificantdifference(p<0.05);Thecorrectrateofshowedbigimprovement,butthetreatmentgroupcompar

7、edwiththecontrolgrouptherewassignificantdifference(p<0.05);2.Twogroupsofpatientsshowedsignificantimprovementwithpassiveankledorsiflexionangle,butthetreatmentgroupcomparedwiththecontrolgrouptherewassignificantdifference(p<0.05);3.Themusclepowerofquadriceps,hamstringandthemuscletoneofquadricepst

8、ricepshavesignificantlyimproved,butthetreatmentgroupcomparedthecontrolgrouptherewassignificantdifferenee(p<0.05);4.TwogroupsofpatientshavebigimprovementwithADLcapacity,butthetreatmentgroupcomparedthecontrolgrouptherewassignificantdifference(p<0.05);5.Thelowerextremitymotorfunctionhavesignificantlyimprovedcomparedwithbeforetreatments,butthetreatmentgroupimprovedmoresignificantlythanthecontrolgroup(p<0.05).Conclusions1ntegratedrehabilitationtherapyhasgreatimprovementwithADLcapacityandlowerextremitymotorfunctionofthepatientsofgenurecurvatum;2.Theformatio