《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (10): 975-977.

• 论文 • 上一篇    下一篇

感觉性共济失调型急性格林-巴利综合征康复治疗个案分析

李鑫,陈颖蓓,李奎   

  1. 中山大学附属第三医院康复医学科,广东广州市510630。
  • 收稿日期:2012-11-26 修回日期:1900-01-01 出版日期:2013-10-25 发布日期:2013-10-25
  • 通讯作者: 李奎

Rehabilitation of Sensory Ataxic Acute Guillain-Barre Syndrome: A Case Study

LI Xin, CHEN Ying-bei, LI Kui.   

  1. The Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, Guangdong, China
  • Received:2012-11-26 Revised:1900-01-01 Published:2013-10-25 Online:2013-10-25

摘要: 目的观察基于运动控制的综合康复治疗对1 例共济失调型急性格林-巴利综合征患者的疗效。方法运用本体感觉神经肌肉促进技术、协调性训练、功能训练、平衡训练等基于运动控制的运动疗法以及四肢末端感觉刺激、四肢联动、压力循环治疗等感觉运动治疗对1 例共济失调型急性格林-巴利综合征患者进行2 个月的综合康复治疗。结果治疗2 个月后,患者国际合作共济失调评定量表(ICARS)下降36 分,日常生活活动分析评估表提高9 分,Berg 平衡量表提高9 分,改良Barthel 指数提高50 分。结论基于运动控制的综合康复治疗对该例共济失调型急性格林-巴利综合征患者疗效显著,但尚需进行病例积累和系统化疗效评价。

关键词: 运动控制, 感觉性共济失调, 格林-巴利综合征, 康复治疗

Abstract: Objective To observe the effect of comprehensive rehabilitation based on motor control on sensory-ataxic acute Guillain-Barre syndrome. Methods A patient with sensory-ataxic acute Guillain-Barre syndrome was treated with kinesitherapy based on motor control,included proprioceptive neuromuscular facilitation, coordination training, functional training, balance training, as well as sensory stimulation on the end of arms and legs, recumbent cross trainer therapy and cycle therapy for 2 months. Results After treatment, the score of International Cooperative Ataxia Rating Scale (ICARS) decreased 36 points, activities of daily living increased 9 points, Berg Balance Scale increased 9 points, and modified Barthel Index increased 50 points. Conclusion The comprehensive rehabilitation based on motor control is effective on this patient, but more cases and systematic curative effect evaluation are needed.

Key words: motor control, sensory ataxia, Guillain-Barre syndrome, rehabilitation