【摘要】 目的:观察神经肌肉本体易化技术( PNF) 对偏瘫后肩关节半脱位的疗效。方法:40 例偏瘫后肩关节半脱位患者随机分为PNF 组和对照组各20 例,均按常规康复治疗,PNF 组加用PNF 技术,包括徒手接触、简短口令、牵伸、拉挤等方法刺激关节,反复收缩与节律起动激活伸屈肌等。结果:上肢功能Brunnst rom 分级和肩关节半脱位复位率与治疗前比较2 组均有提高,治疗30 d 时,PNF 组高于对照组( P < 0. 01) ;治疗60 d 时,对照组也明显提高,2 组间比较差异无显著性意义。结论: PNF 对偏瘫患者早期有明显疗效,但远期疗效不明显。
【关键词】 偏瘫;肩关节半脱位; PNF 技术
【中图分类号】 R49 ;R743. 3 【文献标识码】 A 【文章编号】 100122001 (2007) 0220104202 The Therapeutic Effect of PNF on Shoulder Subluxation in Hemiplegin Patients Caused by Stroke YA N G Dan2dan , XUL in2f eng , C H EN L i2na , et al . Department of Rehabi l i tation Medicine , The Fi rst People’s Hos pi tal of Hangz hou ,Hangzhou 310006 , China
【Abstract】 Objective : To investigate the effect s of the proprioceptive neuromuscular facilitation ( PNF) on the shoulder subluxation after st roke. Methods : Forty st roke patient s with shoulder subluxation were randomly divided into cont rol and PNF groups. The patient s in the two groups underwent regular rehabilitation therapy , and those in the PNF group received PNF , including unarmed contact , brief password , draf ting , pulling , ext rusion and so on to stimulate joint ; cont racting and rhythmically starting repeatedly to activate the flexor muscles. Result s : The Brunnst rom gradua2
tion and the rate of recovery of shoulder subluxation of upper limbs function were higher af ter t reatment than before t reat2 ment in both two group s. Thirty days later , those in PNF group were higher than in cont rol group ( P < 0. 01) . At 60th day , those in the cont rol group were significantly increased also , but there was no significant difference between the two group s. Conclusion : PNF has the obvious therapeutic effect to hemiparalysis patient s in early stage , but long2term thera2 peutic effect s were not satisfactory.
【Key words】 hemiplegia ; shoulder subluxation ; PNF