河北医科大学学报

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水中运动疗法对腓总神经损伤患者功能恢复的效果研究

  

  1. 天津市环湖医院康复医学科,天津 300350
  • 出版日期:2019-12-25 发布日期:2018-12-29
  • 作者简介:王菲(1990-),女,天津人,天津市环湖医院初级康复治疗师,理学学士,从事中枢及周围神经系统疾病康复研究。

Effect of aquatic therapy in patients of peroneal nerve injury#br#

  1. Department of Rehabilitation, Tianjin Huanhu Hospital, Tianjin 300350, China
  • Online:2019-12-25 Published:2018-12-29

摘要: [摘要]〓
〖HTH〗目的〖HTSS〗〖KG*2〗探讨腓总神经损伤患者在水疗训练后步行能力及腓总神经恢复的效果。
〖HTH〗方法〖HTSS〗〖KG*2〗选取腓总神经损伤患者20例,随机方法分为对照组10例、实验组10例。对照组只进行常规的康复训练,实验组除常规训练外加入水中运动训练,2组训练总时长均为40 min(对照组陆地训练40 min,实验组陆地训练20 min+水中训练20 min),每周5次,共8周。训练后比较2组患侧小腿围度、踝背屈主动关节活动度、10 m步行速度以及神经纤维传导速度和波幅。
〖HTH〗结果〖HTSS〗〖KG*2〗治疗后2组小腿围与治疗前差异均无统计学意义(P>005);治疗后2组小腿围差异无统计学意义(P>005)。治疗后2组踝背屈主动关节活动度、10 m步行速度均较治疗前明显增加(P<005),但实验组增加幅度更大;治疗后踝背屈主动关节活动度、10 m步行速度均大于对照组(P<005)。治疗后实验组运动神经传导速度和波幅均大于治疗前(P<005),治疗后对照组运动神经传导速度大于治疗前(P<005),而波幅与治疗前差异无统计学意义(P>005);治疗后实验组运动神经传导速度和波幅均大于对照组(P<005)。治疗后实验组感觉神经传导速度和波幅均大于治疗前(P<005),治疗后对照组感觉神经传导速度大于治疗前,波幅与治疗前差异无统计学意义(P>005);治疗后实验组感觉神经传导速度大于对照组(P<005),而波幅与对照组差异无统计学意义(P>005)。
〖HTH〗结论〖HTSS〗〖KG*2〗8周水中运动训练可提高腓总神经损伤患者神经恢复能力,改善步行能力。

关键词: 水疗法, 腓总神经, 功能恢复

Abstract: [Abstract] Objective〖HTSS〗〓To investigate the walking ability and the recovery of common peroneal nerve after hydrotherapy in patients with common peroneal nerve injury.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Twenty patients with common peroneal nerve injury were randomly divided into 10 cases in control group and 10 cases in experimental group . The control group only performed routine rehabilitation training; the experimental group added water exercise training in addition to the routine training. The total training duration of the two groups was 40 min(40 min field training for the control group and 20 min field training, 20 min water training for the experimental group), with 5 times a week for 8 weeks. After training, the two groups of calf circumference, dorsiflexion active joint mobility, 10 m walking speed, and nerve fiber conduction velocity and amplitude were compared.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓There was no significant difference in the calf circumference between two groups after treatment comparing before the training(P>005). There was no difference in the calf circumference between two groups after treatment. After treatment, the active anterior flexion of the dorsiflexion and the walking speed of 10 m were better than those before treatment. The difference was statistically significant(P<005), but the increase was greater in the experimental group. The active joint mobility and 10meter walking speed of the dorsiflexion were more than that of the control group after treatment(P<005). After treatment, the motor nerve conduction velocity and amplitude were higher in the experimental group than before treatment(P<005). After the treatment, the total nerve motor nerve conduction velocity was higher than that before treatment, and the amplitude was not significantly different from that before treatment(P>0.05). After treatment, the conduction velocity and amplitude of the experimental group were higher than the control group, and the difference was statistically significant(P<005). After treatment, the sensory nerve conduction velocity and amplitude of the experimental group were higher than before treatment(P<005). The conduction rate of the control group was higher than that before treatment. The experimental group was higher than the control group after treatment, and the amplitude of the control group after treatment was compared with that before treatment. The difference was not statistically significant(P>005). There was no significant difference between the experimental group and the control group after treatment(P>005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓Eight weeks training in water can effectively improve patients nerve recovery, and helping patients improve their walking ability.

Key words: hydrotherapy, sural nerve, functional recovery