|
| Clinical study of proprioceptive neuromuscular facilitation regulating control of pelvic in improving walking and balance function in stroke patients with hemiplegia |
| Hits 1638 Download times 1350 Received:April 26, 2019 |
| View Full Text View/Add Comment Download reader |
| DOI
10.11656/j.issn.1672-1519.2019.07.16 |
| Key Words
stroke;hemiplegia;proprioceptive neuromuscular facilitation;pelvic control;walking function;balance function |
| Author Name | Affiliation | | LI Zhiying | National Chinical Research Center for Traditional Chinese Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China | | LI Jing | National Chinical Research Center for Traditional Chinese Medicine, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China |
|
| Abstract
|
| [Objective] In this study,the clinical efficacies of proprioceptive neuromuscular facilitation (PNF) regulating control of pelvic in the treatment of walking and balance function in patients with hemiplegia after stroke were investigated. [Methods] Stroke patients who met the inclusion criteria were randomly divided into control and PNF groups. Both groups of patients were given routine symptomatic support treatment and acupuncture treatment. Beside this,the control group was given regular rehabilitation training and the PNF group was given PNF treatment to regulate control of pelvic. Before and after treatment,the NIHSS scale was used to evaluate the degree of neurological deficit and evaluate the clinical efficacy;the modified Ashworth scale was used to evaluate the hip,knee and ankle joint muscle tension;the Fugl-Meyer scale was used to evaluate the motor function;and the improved Barthel index was evaluated. Daily life activity ability;Berg balance scale to evaluate balance ability;timed standing test to assess fall risk;10 m walk test to evaluate walking function;and ink-blotting method to assess gait. [Results] Compared with before treatment,the MAS scores of hip,knee and ankle were significantly lower in both groups (P<0.01),and the FMA-LE and MBI scores were significantly increased (P<0.05,P<0.01). The patient's balance ability and walking ability were significantly improved,and the anti-fall ability was increased (all P<0.01);and the improvement effect of the PNF group was more obvious (P<0.05). [Conclusion] PNF can effectively improve the muscle tension of stroke patients with hemiplegia,thereby improving the walking function of patients,reducing the risk of falls and improving the ability of self-care through improving the stability of bone and trunk by adjusting pelvic control. |
|
|
|
|
|
|
|
