CAJ | 학술논문

目的:探讨神经肌肉关节促进法对脑梗死后偏瘫患者的偏瘫肢体功能及日常生活活动能力的康复疗效.方法:将67例急性期的脑梗死患者随机分为观察组与对照组.在常规治疗基础上,观察组患者给予神经肌肉关节促进法训练,对照组给予神经肌肉本体感觉促进技术训练.所有入选患者均分别在治疗前、治疗30 d后采用简式Fugl-Meyer运动功能量表评定患者偏瘫肢体的运动功能,改良Barthel指数评定患者的日常生活活动能力(ADL).结果:与治疗前比较,两组患者治疗30 d后的FMA和MBI的评分均有所提高,比较差异具有统计学意义(P<0.05);治疗30 d后两组患者的FMA和MBI评分的组间比较,观察组的FMA和MBI评分均高于对照组(P<0.05).结论:NJF能有效提高急性期脑梗死患者偏瘫肢体运动功能及ADL能力,疗效确切,值得临床推广应用.
목적:탐토신경기육관절촉진법대뇌경사후편탄환자적편탄지체공능급일상생활활동능력적강복료효.방법:장67례급성기적뇌경사환자수궤분위관찰조여대조조.재상규치료기출상,관찰조환자급여신경기육관절촉진법훈련,대조조급여신경기육본체감각촉진기술훈련.소유입선환자균분별재치료전、치료30 d후채용간식Fugl-Meyer운동공능량표평정환자편탄지체적운동공능,개량Barthel지수평정환자적일상생활활동능력(ADL).결과:여치료전비교,량조환자치료30 d후적FMA화MBI적평분균유소제고,비교차이구유통계학의의(P<0.05);치료30 d후량조환자적FMA화MBI평분적조간비교,관찰조적FMA화MBI평분균고우대조조(P<0.05).결론:NJF능유효제고급성기뇌경사환자편탄지체운동공능급ADL능력,료효학절,치득림상추엄응용.
Objective:To explore the effect of neuromuscular joint facilitation on hemiplegic limb motor function and activities of daily living in the Patients with cerebral infarction.Method:The 67 patients with cerebral infarction were randomly divided into observation group and control group. On the basis of conventional drugs and conventional rehabilitation,the control group was given proprioceptive neuromuscular facilitation training and the observation group was given neuromuscular joint facilitation training once a day which sustained 30 minutes for 30 days.Hemiplegic limb function and activities of daily living of all patients were evaluated and compared by Fugl-Meyer Assessment and modofied Barthel index before and after training. Result:Training after 30 days,FMA and MBI scores of two groups improved compared with the former(P<0.05),and the observation group made more progress(P<0.05).Conclusion:NJF training can obviously improve hemiplegic limb motor function and activities of daily living of the patients with cerebral infarction,should be recommended.