调督走罐法对卒中后平衡功能障碍恢复临床观察
|
摘要
目的观察调督走罐法治疗卒中后平衡功能障碍的临床疗效。方法 60例卒中后平衡功能障碍患者,随机分对照组和治疗组,每组30例。两组均接受基础治疗(神经内科对症治疗、常规针刺及常规康复治疗),对照组予以双侧平衡区针刺治疗,治疗组予以调督走罐法治疗。观察两组治疗前后核心肌群徒手肌力评分表、Sheikh躯干控制评定量表、Berg平衡量表(BBS)评分的变化。结果两组治疗后核心肌群徒手肌力、Sheikh躯干控制评定量表评分和BBS评分与同组治疗前比较,差异有统计学意义(P<0.01);治疗组优于对照组,差异有统计学意义(P<0.05)。结论调督走罐和平衡区针刺均可提高卒中后平衡功能,调督走罐优于平衡区针刺。调督走罐可以显著提高腰背部核心肌群的肌力,增强躯干的控制能力,从而改善平衡功能。
Objective To observe the clinical efficacy of Governor-regulating moving cupping in treating balance dysfunction after cerebral stroke. Method Sixty patients with balance dysfunction after cerebral stroke were randomized into a control group and a treatment group, with 30 cases in each group. The two groups both received basic interventions(neurological symptomatic treatment, ordinary acupuncture and rehabilitation). In addition, the control group was given acupuncture at bilateral balance zones, and the treatment group was given Governor-regulating moving cupping. For both groups, changes in Manual Muscle Test(MMT) of core muscles score,Sheikh Trunk Control Measurement Scale(STCMS) score and Berg Balance Scale(BBS) score after the treatment were observed. Result After treatment, the MMT, STCMS and BBS scores showed significant differences in both groups(P<0.01); the treatment group was superior to the control group, and the differences were statistically significant(P<0.05). Conclusion Governor-regulating moving cupping and acupuncture at the balance zones both can enhance the balance function after cerebral stroke, while the former has a more significant effect than the latter.Governor-regulating moving cupping can significantly increase the lumbodorsal core-muscle strength and trunk control ability, so as to improve the balance function.
Objective To observe the clinical efficacy of Governor-regulating moving cupping in treating balance dysfunction after cerebral stroke. Method Sixty patients with balance dysfunction after cerebral stroke were randomized into a control group and a treatment group, with 30 cases in each group. The two groups both received basic interventions(neurological symptomatic treatment, ordinary acupuncture and rehabilitation). In addition, the control group was given acupuncture at bilateral balance zones, and the treatment group was given Governor-regulating moving cupping. For both groups, changes in Manual Muscle Test(MMT) of core muscles score,Sheikh Trunk Control Measurement Scale(STCMS) score and Berg Balance Scale(BBS) score after the treatment were observed. Result After treatment, the MMT, STCMS and BBS scores showed significant differences in both groups(P<0.01); the treatment group was superior to the control group, and the differences were statistically significant(P<0.05). Conclusion Governor-regulating moving cupping and acupuncture at the balance zones both can enhance the balance function after cerebral stroke, while the former has a more significant effect than the latter.Governor-regulating moving cupping can significantly increase the lumbodorsal core-muscle strength and trunk control ability, so as to improve the balance function.
引文
[1]林夏纪,丘卫红,窦祖林.脑卒中后平衡功能障碍的研究进展[J].中国康复医学杂志,2011,26(2):191-194.
[2]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:39.
[3]中华医学会神经病学分会.2016版中国脑血管病诊治指南与共识[M].北京:人民卫生出版社,2016:106-150.
[4]诸毅晖.康复评定学[M].上海:上海科学技术出版社,2008:93-99.
[5]孟庆刚,唐强,冯军.中国针灸头穴疗法[M].北京:中国医药科技出版社,2003:81.
[6]黎涌明,于洪军,资薇,等.论核心力量及其在竞技体育中的训练--起源·问题·发展[J].体育科学,2008,28(4):19-29.
[7]Bohannon RW.Lateral trunk flexion strength:impairment,measurement reliability and implications following unilateral brain lesion[J].Int J Rehabil Res,1992,15(3):249-251.
[8]刘世文,槐洪波,刘然,等.早期脑卒中患者躯干屈伸肌群表面肌电研究[J].中国康复医学杂志,2006,21(1):57-59.
[2]国家中医药管理局.中医病证诊断疗效标准[S].北京:中国医药科技出版社,2012:39.
[3]中华医学会神经病学分会.2016版中国脑血管病诊治指南与共识[M].北京:人民卫生出版社,2016:106-150.
[4]诸毅晖.康复评定学[M].上海:上海科学技术出版社,2008:93-99.
[5]孟庆刚,唐强,冯军.中国针灸头穴疗法[M].北京:中国医药科技出版社,2003:81.
[6]黎涌明,于洪军,资薇,等.论核心力量及其在竞技体育中的训练--起源·问题·发展[J].体育科学,2008,28(4):19-29.
[7]Bohannon RW.Lateral trunk flexion strength:impairment,measurement reliability and implications following unilateral brain lesion[J].Int J Rehabil Res,1992,15(3):249-251.
[8]刘世文,槐洪波,刘然,等.早期脑卒中患者躯干屈伸肌群表面肌电研究[J].中国康复医学杂志,2006,21(1):57-59.