Comparison of effects of proprioceptive neuromuscular facilitation technique and lower limb robotics on lower limb motor function and automatic balance function in post-stroke patients
10.3969/j.issn.1001-1242.2023.12.007
- VernacularTitle:本体感觉神经肌肉促进技术和下肢机器人对脑卒中后下肢运动和自动态平衡功能的影响
- Author:
Xuejiao WU
1
,
2
;
Guangwei PENG
;
Xiaohua SHEN
Author Information
1. 上海市第一康复医院,上海市,200090
2. 上海体育学院
- Keywords:
proprioceptive neuromuscular facilitation;
manual therapy;
maximal walking speed;
lower limb exoskel-eton rehabilitation robot;
limits of stability test
- From:
Chinese Journal of Rehabilitation Medicine
2023;38(12):1677-1682
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the characteristics and differences in clinical efficacy of proprioceptive neuromuscular facilitation(PNF)and lower limb robotics in improving lower limb motor function,walking speed,and auto-matic balance function in stroke patients. Method:Seventy-two stroke patients with hemiplegia who met the criteria were randomly assigned to the con-ventional group(n=25),PNF group(n=24),and lower limb robotics group(n=23).The treatment lasted for 4 weeks.Before and after treatment,the Fugl-Meyer assessment lower extremity scale(FMA-LE),10m maxi-mum walking speed test(MWS),and neuro com balance manager system were used to evaluate lower limb movement function,walking speed and automatic balance function. Result:After 4 weeks of treatment,the FMA-LE score of PNF group was significantly better than that of conventional group(P＜0.05)and lower limb robotics group(P-0.001),the MWS score in the lower limb ro-botics group was significantly better than that in the conventional group(P＜0.05)and the PNF group(P=0.001),and the MWS score in the PNF group was significantly better than that in the conventional group(P＜0.05).The lower limb robotics group showed significantly better scores in the reaction time,movement veloci-ty,endpoint travel distance,maximum excursions and directional control index score than the conventional group(P＜0.05)and the PNF group(P＜0.05),while the directional control index score in the PNF group was significantly better than that in the conventional group(P=0.049). Conclusion:Manual PNF therapy and lower limb robotics training have their own clinical efficacy in stroke patients,with PNF technique being more effective in improving lower limb motor function,while lower limb robotics have an advantage in automatic balance function and walking speed.
