Addition of intensive repetition of facilitation exercise to multidisciplinary rehabilitation promotes motor functional recovery of the hemiplegic lower limb
Addition of intensive repetition of facilitation exercise to multidisciplinary rehabilitation promotes motor functional recovery of the hemiplegic lower limb
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DOI：
10.1080/16501970410029753
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发表时间：
2004-07-01
影响因子：
3.5
通讯作者：
Tanaka, N
中科院分区：
文献类型：
--
作者：
Kawahira, K;Shimodozono, M;Tanaka, N
目的：探讨促进法诱导的高强度重复运动对脑损伤偏瘫患者自主运动能力的改善作用。设计：个体间多基线设计（A-B-A-B: A无特异性治疗，B有特异性治疗）。患者：22例卒中患者和2例脑肿瘤手术患者（年龄：50.7±9.6岁，发病时间：7.1±2.6周）。他们是从1995年9月1日至1997年3月31日在我们康复中心住院的165名中风患者中挑选出来的。方法：采用常规常规康复训练的偏瘫患者，在不使用偏瘫促进技术的情况下，每隔2周进行2次促进技术训练，5种动作每组100次以上，每组2周。每隔2周评估受影响下肢的运动功能（偏瘫的Brunnstrom恢复阶段、踢脚测试和膝关节伸展/屈曲的力量）和行走速度。结果：第一次常规康复训练后、第一次和第二次促进技术和常规康复训练后，患肢的Brunnstrom阶段、踢脚和膝关节伸屈力量均有显著改善。促进技术和常规康复训练后的改善显著大于常规康复训练前的改善。结论：促进技术（主要是本体感觉神经-肌肉促进模式、拉伸反射和皮肤-肌肉反射）诱导的高强度重复运动可改善脑损伤偏瘫患者的随意运动。
Objective: To evaluate the effects of the intensive repetition of movements elicited by the facilitation technique to improve voluntary movement of a hemiplegic lower limb in patients with brain damage.Design: A multiple-baseline design (A-B-A-B: A without specific therapy, B with specific therapy) across individuals.Patients: The sample comprised 22 subjects with stroke and 2 brain tumour-operated subjects ( age: 50.7 +/- 9.6 years, time after onset: 7.1 +/- 2.6 weeks). They were selected from among 165 patients with stroke who were admitted to our rehabilitation centre from September 1, 1995 to March 31, 1997.Methods: Two 2-week facilitation technique sessions ( more than 100 repetitions a day for each of 5 kinds of movement) were applied at 2-week intervals in patients with hemiplegia, who were being treated with continuous conventional rehabilitation exercise without the facilitation technique for hemiplegia. Motor function of the affected lower limb (Brunnstrom Recovery Stage of hemiplegia, the foot-tap test and the strength of knee extension/flexion) and walking velocity were evaluated at 2-week intervals.Results: Significant improvements in Brunnstrom Stage, foot-tapping and the strength of knee extension/flexion of the affected lower limb were seen after the first conventional rehabilitation exercise session and after the first and second facilitation technique and conventional rehabilitation exercise sessions. The improvements after facilitation technique and conventional rehabilitation exercise sessions were significantly greater than those after the preceding conventional rehabilitation exercise sessions.Conclusion: Intensive repetition of movement elicited by the facilitation technique ( chiefly proprioceptive neuromuscural facilitation pattern, stretch reflex and skin-muscle reflex) improved voluntary movement of a hemiplegic lower limb in patients with brain damage.