体感模拟训练联合Brunnstrom技术治疗脑卒中软瘫期患者的效果分析

胡琪苓 赵会哲 魏艳霞 刘珊珊

南阳市中心医院康复医学科

摘要：目的：探讨体感模拟训练联合Brunnstrom技术治疗脑卒中软瘫期患者的临床效果。方法：选取101例脑卒中软瘫期患者，按照随机数字表法分为两组，对照组50例和观察组51例。对照组给予Brunnstrom技术干预，观察组在对照组基础上增加体感模拟训练。比较两组患者上肢运动功能、肘关节屈伸功能、体感诱发电位。结果：观察组上肢运动功能优于对照组（P＜0.05）;观察组肘关节屈协同收缩率、肘关节伸协同收缩率均低于对照组（P＜0.05）;观察组体感诱发电位波幅高于对照组，潜伏期低于对照组（P＜0.05）。结论：体感模拟训练联合Brunnstrom技术治疗脑卒中软瘫期患者效果显著，能够有效提高上肢运动功能，增强肘关节屈伸功能。

关键词：Brunnstrom技术;脑卒中软瘫期;体感模拟训练;

Effects of somatosensory simulation training combined with Brunnstrom technique on stroke patients at flaccid paralysis period

HU Qiling^①,ZHAO Huizhe,WEI Yanxia,LIU Shanshan.(Dept. of Rehabilitation Medicine,Nanyang Central Hospital,Nanyang 473000,China)

Abstract Objective: To investigate the effects of somatosensory simulation training combined with Brunnstrom technique on stroke patients at flaccid paralysis period. Methods: A total of 101 stroke patients with flaccid paralysis were selected and randomized into two groups, with 50 cases in the control group and 51 cases in the observation group. The control group were treated with Brunnstrom technique, while the observation group received somatosensory simulation training on the basis of the control group. The upper limb motor function, elbow flexion and extension function, and somatosensory evoked potentials were compared between the two groups. Results: The upper limb motor function in the observation group was better than that in the control group(P<0.05); the synergistic contraction rate of elbow joint flexion and elbow joint extension of the patients in the observation group were lower than those in the control group (P<0.05); the amplitude of somatosensory evoked potentials of patients in the observation group was higher than that in the control group, and the latency was lower than that in the control group(P<0.05). Conclusion: The application of somatosensory simulation training combined with Brunnstrom technique in stroke patients with flaccid paralysis is more effective, which can effectively improve the upper limb movement function, and enhance the elbow joint flexion and extension function.

Keywords:Brunnstrom technique; flaccid paralysis period after stroke; somatosensory simulation training

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