局部振动治疗对脊髓损伤患者下肢痉挛及自理能力的疗效分析

摘要

目的：：观察局部振动治疗对脊髓损伤患者下肢肌张力及日常生活能力的影响。方法：将64例脊髓损伤患者随机分为观察组和对照组各32例。对照组患者仅进行系统康复训练,观察组患者在接受系统康复训练的基础上给予双下肢振动治疗。治疗前后采用改良 Ashworth 量表(MAS)和改良 Barthel 指数(MBI)量表对2组患者痉挛程度及日常生活活动能力进行评定。结果：治疗后,2组 MAS 评分均较治疗前明显降低(P <0.05),但观察组降低更加显著(P <0.05)；2组 MBI 评分亦较治疗前明显提高(P <0.05),但2组间比较差异无统计学意义。结论：振动治疗可改善脊髓损伤患者肌痉挛,但对患者日常生活活动能力及转移能力改善证据不足。%Objective:To investigate the effects of local vibration (LV)on spasticity and independence of daily liv-ing in patients with spinal cord injury (SCI).Methods:Sixty-four patients with SCI were randomly divided into LV group (n=32)and control group (n=32).The patients in LV group were treated with LV and conventional reha-bilitation,and those in control group treated with conventional rehabilitation only.The spasticity and activities of daily living were assessed by modified Ashworth scale (MAS)and modified Barthel Index (MBI)before and after treatment.Results:The MAS scores were significantly decreased,and MBI scores significantly increased in both groups after treatment as compared with those before treatment (P <0.05).There was significant difference in the MAS scores between two groups after treatment (P <0.05).Conclusion:LV can significantly decrease spasticity in SCI patients but can't improve the ability of independence of daily living and transfers.