关键词: 卒中, 偏瘫, 康复, 步态, Neurac技术, Fugl-Meyer评分, 悬吊疗法, 神经肌肉激活

Abstract: Objective To evaluate the application effect of neuromuscular activation (Neurac) in the rehabilitation of stroke patients with hemiplegia. Methods A total of 81 stroke patients with hemiplegia (Brunnstrom stage Ⅳ-Ⅴ) who were diagnosed in our hospital for the first time were included in this study. Patients were divided into control group (n=40) and observation group (n=41) according to the random number method. The control group was treated with conventional medicine and rehabilitation training, and the observation group was treated with Neurac technique on the basis of the control group. The rehabilitation time of the two groups was 50 minutes each time, 5 times a week for 4 weeks. The scores of Fugl-Meyer upper limb motor function assessment scale (FMA-UE), HongKong version of hemiplegic upper limb function test (FTHUEHK) and Barthel index (BI) were used for the evaluation of the recovery of upper limb function. Fugl-Meyer lower limb motor function assessment scale (FMA-LE), Berg balance scale (BBS), trunk control ability test (TCT), three-dimensional gait training system for gait space-time and phase parameters were used for the evaluation of lower limb function. Results After treatment, the scores of FMA-UE, FTHUE-HK and BI were higher in the two groups than those of before treatment, and the scores were significantly higher in observation group than those of control group (P＜0.01). The FMA-LE, BBS and TCT scores were higher after treatment in the two groups than those of before treatment, and they were significantly higher in observation group than those of control group (P＜0.05). Gait space-time parameters including step speed, stride frequency and step length were increased, while step width was decreased, space-phase parameters including the percentages of double support phase, healthy side support phase, affected side support phase and healthy-affected side support ratio were decreased, and the improvement was better in the observation group than that of the control group (P＜0.05). Conclusion Neurac technology can further improve the upper and lower limb function of stroke patients with hemiplegia, improve the balance and control ability of limbs, improve gait, enhance the quality of rehabilitation and life ability, and has a good application and promotion value.

Key words: stroke, hemiplegia, rehabilitation, gait, Neurac technique, Fugl-Meyer score, suspension therapy, neuromuscular activation