| 赵文汝,赵海红,张学敏,曹 效,孙爱萍,李 欣.六步法中医导引术治疗偏瘫足下垂的临床研究[J].中国康复医学杂志,2009,24(7):632~634 |
| 六步法中医导引术治疗偏瘫足下垂的临床研究 点此下载全文 |
| 赵文汝 赵海红 张学敏 曹 效 孙爱萍 李 欣 |
| 首都医科大学附属北京同仁医院神经训导康复中心，北京，100176 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 3784 |
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| 摘要： |
| 目的：改良古老中医导引术，简化其操作、提高其对偏瘫足下垂的治疗效果。方法：将以调神，调息为基本技术的按照传统中医导引术按照现代医学理论，改良为运动想象和模拟、精力调集、确定目标点、击发、坚持和放松六个步骤。选取脑卒中偏瘫足下垂患者60例，随机分为六步法组和对照组，治疗前后分别进行Fugl-Meyer评分（FMS）、Lovett徒手肌力检查（MMT）、主动关节活动度（AROM）和肌电信号强度（EMG）等功能评定，结果进行统计学分析。结果：两组各项指标间均有显著性差异（P<0.01），六步法组疗效明显优于对照组疗效训练后数据：MMT：六步法组：3.62±1.21，对照组：2.13±1.01；胫前肌EMG：六步法组：87.31±23.66?滋V，对照组：43.18±8.36?滋V；AROM：六步法组：18.43±2.68°，对照组：13.47±4.36°；胫前肌FMS：六步法组：1.7±0.47，对照组：0.7±0.47。结论：六步法中医导引术是康复卒中偏瘫足下垂的有效方法。 |
| 关键词：康复 中医导引术 六步法 偏瘫 足下垂 |
| The mechanism and clinical effectiveness of six-step procedure of Daoyin on hemiplegic foot-drop Download Fulltext |
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| The Neurological Training Rehabilitation Center, Beijing Tongren Hospital, Capital Medical University, Beijing,100176 |
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| Abstract: |
| Objective：To modify the ancient Daoyin technique to improve its′ effect on hemiplegic fout-drop and simplifying it′s operation procedure. Method：Based on the ancient Daoyin technique, six-step procedure was developed including motion imagining and imitating, mental and breathing regulating, target point determining, motion percussing, persisting and relaxing. Sixty patients with hemiplegic foot-drop after stroke were divided into six-step group and control group randomly. The functional evaluations including Fugl-Meyer scores(FMS), Lovett manual muycle test(MMT), active range of motion(AROM) and electromyography(EMG) test were administered before and after treatment. Result：The differences between two groups were significant. The effectiveness in six-step group was significantly better than that in control group. The data after training were as follows: MMT:six-step group:3.62±1.21, control group:2.13±1.01; EMG of anterior tibial muscle:six-step group:87.31±23.66?滋V, control group:43.18±8.36?滋V; AROM:six-step group:18.43±2.68°, control group:13.47±4.36°; FMS： six-step group:1.7±0.47, control group:0.7±0.47. Conclusion：The six-step procedure of Daoyin(Chinese physical and breathing exercises) is an effective training technique for foot-drop in hemiplegic patient after stroke. |
| Keywords:rehabilitation Daoyin six-step procedure hemiplegia foot-drop |
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