Volume 20 Issue 6
Jun.  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(6): 1041-1044
LIU Ying-jiao, ZHANG Hong, CHEN Ai-lian, FU Wen-jun. Effect of neuromuscular activation technology based on suspension therapy on motor function of stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2022, 20(6): 1041-1044. doi: 10.16766/j.cnki.issn.1674-4152.002519
Citation: LIU Ying-jiao, ZHANG Hong, CHEN Ai-lian, FU Wen-jun. Effect of neuromuscular activation technology based on suspension therapy on motor function of stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2022, 20(6): 1041-1044. doi: 10.16766/j.cnki.issn.1674-4152.002519
shu

Effect of neuromuscular activation technology based on suspension therapy on motor function of stroke patients with hemiplegia

doi: 10.16766/j.cnki.issn.1674-4152.002519

  • Department of Rehabilitation Medicine, Hunan Provincial People ' s Hospital, Changsha, Hunan 410000, China

Funds:

 2019XK001

  • Received Date: 2021-07-04
    Available Online: 2022-09-21
    Abstract
  •   Objective  To explore the clinical effect of neuromuscular activation technology based on suspension therapy on motor functions such as trunk control, gait and balance in stroke patients with hemiplegia.  Methods  A total of 80 patients with hemiplegia after stroke hospitalized in the Rehabilitation Medicine Department of Hunan Provincial People's Hospital from January to November 2019 were randomly divided into control group and observation group, with 40 cases in each group. The control group was received routine rehabilitation training, while the observation group was given neuromuscular activation technology based on suspension therapy. The patients' balance, trunk control, lower limb motor function, balance, quality of life, as well as the temporal and spatial parameters of lower limb gait during walking were evaluated before and after training.  Results  After treatment, the balance ability, trunk control ability, lower limb motor function and walking function in the observation group [(37.61±4.36) points, (83.41±8.61) points, (80.71±9.19) points, (3.86±0.23) points] were higher than those in the control group [(34.86±4.11) points, (76.83±7.36) points, (72.37±9.57) points, (3.66±0.34) points, all P < 0.05]. The scores of quality of life in the observation group were higher than those in the control group (all P < 0.05). The gait speed, gait frequency and stride length of gait spatiotemporal parameters in the observation group were higher than those in the control group (all P < 0.05). The stride period and the proportion of support phase in the observation group were lower than those in the control group (all P < 0.05).  Conclusion  The neuromuscular activation technology based on suspension therapy can effectively optimize the gait function of stroke patients with hemiplegia, improve their trunk control ability, balance ability, walking ability and quality of life, which is worthy of clinical promotion.

     

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    • References(25)
  • [1]
    CRAMER S C, WOLF S L, ADAMS H P J R, et al. Stroke recovery and rehabilitation research: Issues, opportunities, and the national institutes of health StrokeNet[J]. Stroke, 2017, 48(3): 813-819. doi: 10.1161/STROKEAHA.116.015501
    [2]
    杨珊莉, 蔡素芳, 吴静怡, 等. 中西医结合康复临床实践指南·认知障碍[J]. 康复学报, 2020, 30(5): 343-348. https://www.cnki.com.cn/Article/CJFDTOTAL-FYXB202005003.htm

    YANG S L, CAI S F, WU J Y, et al. Clinical practice guidelines in integrated traditional chinese and western medicine rehabilitation—Cognitive Impairment[J]. Rehabilitation Medicine, 2020, 30(5): 343-348. https://www.cnki.com.cn/Article/CJFDTOTAL-FYXB202005003.htm
    [3]
    NAKAWAH M O, LAI E C. Post-stroke dyskinesias[J]. Neuropsychiatr Dis Treat, 2016, 12: 2885-2893. doi: 10.2147/NDT.S118347
    [4]
    陈捷, 吴福春, 莫国清, 等. 新Bobath技术结合智能运动反馈训练对脑卒中偏瘫患者手功能的影响[J]. 康复学报, 2018, 28(6): 16-20. https://www.cnki.com.cn/Article/CJFDTOTAL-FYXB201806004.htm

    CHEN J, WU F C, MO G Q, et al. Effect of New Bobath Technology Combined with Intelligent Motion Feedback Training on Hand Function of Stroke Patients with Hemiplegia[J]. Rehabilitation Medicine, 2018, 28(6): 16-20. https://www.cnki.com.cn/Article/CJFDTOTAL-FYXB201806004.htm
    [5]
    计静, 陈世宣, 林初勇, 等. 神经肌肉激活技术对慢性非特异性下腰痛患者腰部功能和核心稳定性的影响[J]. 浙江中西医结合杂志, 2020, 30(6): 480-483. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZH202006016.htm

    JI J, CHEN S X, LIN C Y, et al. Effects of neuromuscular activation techniques on lumbar function and core stability in patients with chronic nonspecific low back pain[J]. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine, 2020, 30(6): 480-483. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJZH202006016.htm
    [6]
    计静, 陈世宣, 朱斌, 等. 神经肌肉激活技术在慢性非特异性下腰痛中的应用效果分析[J]. 中华全科医学, 2020, 18(6): 965-967, 979. doi: 10.16766/j.cnki.issn.1674-4152.001404

    JI J, CHEN S X, ZHU B, et al. The application of neuromuscular activation in chronic nonspecific low back pain[J]. Chinese Journal of General Practice, 2020, 18(6): 965-967, 979. doi: 10.16766/j.cnki.issn.1674-4152.001404
    [7]
    王新德. 各类脑血管疾病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC201307036.htm

    WANG X D. Key points of diagnosis of various cerebrovascular diseases[J]. Chinese Journal Of Neurology, 1996, 29(6): 379-380. https://www.cnki.com.cn/Article/CJFDTOTAL-SYLC201307036.htm
    [8]
    张通, 赵军. 中国脑卒中早期康复治疗指南[J]. 中华神经科杂志, 2017, 50(6): 405-412.

    ZHANG T, ZHAO J. Guidelines for early rehabilitation treatment of stroke in China[J]. Chinese Journal of Neurology, 2017, 50(6): 405-412.
    [9]
    瓮长水, 王军, 王刚, 等. Berg平衡量表在脑卒中患者中的内在信度和同时效度[J]. 中国康复医学杂志, 2007, 22(8): 688-690, 717. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF200708005.htm

    WENG C S, WANG J, WANG G, et al. Assessments of internal reliability and concurrent validity of Berg balance scale in stroke patients[J]. Chinese Journal of Rehabilitation Medicine, 2007, 22(8): 688-690, 717. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF200708005.htm
    [10]
    缪鸿石, 朱镛连. 脑卒中的康复评定和治疗[M]. 北京: 华夏出版社, 1996: 131-132.

    MIAO H S, ZHU Y L. Rehabilitation assessment and treatment of stroke[M]. Beijing: Huaxia Publishing House, 1996: 131-132.
    [11]
    卢寨瑶. Fugl-Meyer量表在脑卒中康复评定中的应用分析[J]. 临床医药文献电子杂志, 2016, 3(11): 2032, 2034. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201611024.htm

    LU Z Y. Application analysis of Fugl-Meyer scale in rehabilitation assessment of stroke[J]. Journal of Clinical Medical Literature (ElectronicEdition), 2016, 3(11): 2032, 2034. https://www.cnki.com.cn/Article/CJFDTOTAL-LCWX201611024.htm
    [12]
    舒国建, 刘家庆, 向云, 等. 下肢康复机器人联合等速肌力训练对脑卒中后下肢运动功能影响的临床对照研究[J]. 中国康复, 2020, 35(7): 339-342. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202007002.htm

    SHU G J, LIU J Q, XIANG Y, et al. Efficacy of lower limb rehabilitation robot combined with isokinetic muscle strength training for lower limb motor dysfunction after stroke: A randomized controlled study[J]. Chinese Journal of Rehabilitation, 2020, 35(7): 339-342. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF202007002.htm
    [13]
    侯丽君, 赵晓峰. WHO生存质量简表评价脑卒中患者信度及效度研究[J]. 中华针灸电子杂志, 2013, 2(1): 5-8.

    HOU L J, ZHAO X F. Reliability and validity of the world health organization quality of Iife-BREF in patients with stroke[J]. Chinese Journal of Diagnostics (Electronic Edition), 2013, 2(1): 5-8.
    [14]
    YU X M, JIN X M, LU Y, et al. Effects of body weight support-Tai Chi footwork training on balance control and walking function in stroke survivors with hemiplegia: A pilot randomized controlled trial[J]. Evid Based Complement Alternat Med, 2020(3): 1-9. DOI: 10.1155/2020/9218078.
    [15]
    JAN S, ARSH A, DARAIN H, et al. A randomized control trial comparing the effects of motor relearning programme and mirror therapy for improving upper limb motor functions in stroke patients[J]. J Pak Med Assoc, 2019, 69(9): 1242-1245.
    [16]
    MORIOKA S, OSUMI M, NISHI Y, et al. Motor-imagery ability and function of hemiplegic upper limb in stroke patients[J]. Ann Clin Transl Neurol, 2019, 6(3): 596-604. doi: 10.1002/acn3.739
    [17]
    范子言, 李宝金, 廖伶艺, 等. 躯干控制训练对急性期脑卒中偏瘫患者动态坐位平衡和躯干功能影响的随机对照试验[J]. 四川大学学报(医学版), 2020, 51(6): 847-852. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202006020.htm

    FAN Z Y, LI B J, LIAO L Y, et al. Effects of trunk control training on dynamic sitting balance and trunk function in hemiplegia patients after acute stroke[J]. Journal of Sichuan University (Medical Science Edition), 2020, 51(6): 847-852. https://www.cnki.com.cn/Article/CJFDTOTAL-HXYK202006020.htm
    [18]
    SANTOS-MARIANO A C, TOMAZINI F, FELIPPE L C, et al. Effect of caffeine on neuromuscular function following eccentric-based exercise[J]. PLoS One, 2019, 14(11): e0224794. doi: 10.1371/journal.pone.0224794
    [19]
    乐琳, 李哲, 郭钢花, 等. PNF技术对脑卒中患者躯干控制的疗效观察及躯干屈伸肌群表面肌电指标分析[J]. 中国康复, 2019, 34(12): 627-630. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201912004.htm

    LE L, LI Z, GUO G H, et al. Effect of PNF on trunk control in patients with stroke and analysis of surface electromyography of trunk flexor and extensor muscles[J]. Chinese Journal of Rehabilitation, 2019, 34(12): 627-630. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLKF201912004.htm
    [20]
    吴雪娇, 朱玉连, 丁小琴, 等. 下肢机器人结合本体感觉神经肌肉促进技术对脑卒中患者下肢功能的临床疗效研究[J]. 中国康复医学杂志, 2020, 35(8): 938-943. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202008010.htm

    WU X J, ZHU Y L, DING X Q, et al. The therapeutic effect of lower limb robot combined with PNF technique on lower limb function in stroke patients[J]. Chinese Journal of Rehabilitation Medicine, 2020, 35(8): 938-943. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGKF202008010.htm
    [21]
    吕仁华, 李晓捷, 范艳萍, 等. 神经肌肉激活技术对偏瘫型脑性瘫痪患儿平衡及步行能力的效果[J]. 中国康复理论与实践, 2016, 22(3): 310-313. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201603017.htm

    LYU R H, LI X J, FAN Y P, et al. Effects of neuromuscular activation training on balance and walking in children with hemiplegic cerebral palsy[J]. Chinese Journal of Rehabilitation Theory and Practice, 2016, 22(3): 310-313. https://www.cnki.com.cn/Article/CJFDTOTAL-ZKLS201603017.htm
    [22]
    柳晨希, 陈栋梁, 陈雅萍. 神经肌肉激活技术在腰椎骨折术后腰痛的效果分析[J]. 现代实用医学, 2018, 30(4): 523-524. https://www.cnki.com.cn/Article/CJFDTOTAL-NBYX201804056.htm

    LIU C X, CHEN D L, CHEN Y P. Effect of neuromuscular activation technique on low back pain after lumbar fracture surgery[J]. Modern Practical Medicine, 2018, 30(4): 523-524. https://www.cnki.com.cn/Article/CJFDTOTAL-NBYX201804056.htm
    [23]
    朱凯云, 黄玉婵, 邓燕芬. 核心肌群训练结合针刺对缺血性脑卒中偏瘫患者下肢运动功能和生活质量的影响[J]. 中外医学研究, 2021, 19(3): 134-136. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY202103051.htm

    ZHU K Y, HUANG Y C, DENG Y F. Effect of core muscle group training combined with acupuncture on lower limb motor function and quality of life in hemiplegic patients with ischemic stroke[J]. Chinese And Foreign Medical Research, 2021, 19(3): 134-136. https://www.cnki.com.cn/Article/CJFDTOTAL-YJZY202103051.htm
    [24]
    丛文杰, 金珍珍, 董海欣, 等. 针刺结合核心肌群训练对缺血性脑卒中偏瘫患者平衡功能的影响[J]. 中华全科医学, 2018, 16(10): 1726-1729. doi: 10.16766/j.cnki.issn.1674-4152.000470

    CONG W J, JIN Z Z, DONG H X, et al. Clinical observation of acupuncture combined core muscle training on early balance function of ischemic stroke patients with hemiplegia[J]. Chinese Journal of General Practice, 2018, 16(10): 1726-1729. doi: 10.16766/j.cnki.issn.1674-4152.000470
    [25]
    赵勇, 刘陈, 金炳旭, 等. 基于Neurac的核心肌群训练对痉挛型脑瘫儿童步行及平衡功能的影响[J]. 按摩与康复医学, 2020, 11(22): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-AMYD202022012.htm

    ZHAO Y, LIU C, JIN B X, et al. The Effect of Core Muscle Training Based on Neurac for the Walking and Balance Function of Children with Spastic Cerebral Palsy[J]. Chinese Manipulation and Rehabilitation Medicine, 2020, 11(22): 35-38. https://www.cnki.com.cn/Article/CJFDTOTAL-AMYD202022012.htm
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