六步法中医导引术治疗偏瘫足下垂的临床研究

关键词：康复  中医导引术  六步法  偏瘫  足下垂

Keywords:rehabilitation  Daoyin  six-step procedure  hemiplegia  foot-drop

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。

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.