《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (2): 115-117.

• 论文 • 上一篇    下一篇

本体感觉神经肌肉促进技术对脑卒中患者膝关节运动控制功能的影响

郑洁皎1，俞卓伟2，夏汶1，徐国会1，胡佑红1   

  1. 1.复旦大学附属华东医院康复医学科，上海市 200040；2.上海市老年医学研究所，上海市 200040。
  • 收稿日期:2009-12-09 修回日期:1900-01-01 出版日期:2010-02-25 发布日期:2010-02-25

Effects of Proprioceptive Neuromuscular Facilitation Techniques on Knee Joint Motor Control in Strokes

ZHENG Jie-jiao, YU Zhuo-wei, XIA Wen, et al.   

  1. Department　of Rehabilitation, Huadong Hospital, Fudan University, Shanghai 200040, China
  • Received:2009-12-09 Revised:1900-01-01 Published:2010-02-25 Online:2010-02-25

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摘要： 目的探讨本体感觉神经肌肉促进技术(PNF)对于脑卒中患者下肢运动功能的影响及其作用机制。方法采用随机采样，横断面的设计来评价44例脑卒中患者接受PNF收缩-放松-拮抗肌收缩（PNF-CRAC）技术训练前后患者膝关节肌肉的sEMG信号。结果PNF-CRAC技术具有很好的兴奋扩散作用，可以提高脑卒中患者患膝主动肌的兴奋性和运动控制能力。结论PNF-CRAC技术增加膝关节的稳定性，促进偏瘫下肢运动功能的恢复。

关键词: 脑卒中, 本体感觉神经肌肉促进技术, 运动控制, 表面肌电图

Abstract: ObjectiveTo examine the effects of proprioceptive neuromuscular facilitation(PNF) techniques on lower limb motor function of strokes and its mechanism.MethodsWe used simple random sampling and cross-section survey design. PNF Contract Relax Agonist Contract(PNF-CRAC) techniques were applied to 44 stroke patients. Surface electromyography values(sEMG) was recorded from rectus femoris and hamstring of stroke patients with both low limbs. ResultsPNF-CRAC techniques not only caused the irradiation of muscles activities in the contralateral extremity during unilateral exercise, but also increased agonist EMG activities and the motor control of knee joint in strokes.ConclusionPNF-CRAC techniques can improve the knee stability and enhance the recovery of motor function in paretic lower limb.

Key words: stroke, Proprioceptive Neuromuscular Facilitation, motor control, surface electromyography