小针刀联合康复训练对脑卒中后肢肌张力障碍患者日常生活活动能力的影响

The Effect of Small Needle Knife Combined with Rehabilitation Training on the Daily Living Activities of Post-Stroke Patients with Hind Limb Muscle Tone Disorders

摘要: 目的：分析脑卒中后肢肌张力障碍患者应用小针刀联合康复训练的效果。方法：选取2025.01~2025.12至我院就诊的60例脑卒中后肢肌张力障碍患者。采用评估者盲法判定研究结局，以减少主观偏倚。根据密封信封法均分为研究组(小针刀联合康复训练)、基础组(针灸联合康复训练)，n = 30。组间对比肌力、肌张力、平衡能力、日常生活活动能力。结果：研究组肌力高于基础组(p < 0.05)；研究组肌张力低于基础组(p < 0.05)；研究组平衡能力和日常生活活动能力高于基础组(p < 0.05)。结论：小针刀联合康复训练能够改善脑卒中后肢肌张力障碍患者的肌力和肌张力，提高平衡能力和日常生活活动能力。

Abstract: Objective: To analyze the effect of a small needle knife combined with rehabilitation training on post-stroke patients with hind limb muscle tone disorders. Method: Sixty stroke patients with hind limb muscle tone disorders who visited our hospital between January and December 2025 were selected. This study employed an evaluator-blind method to determine the study outcomes, thereby reducing subjective bias. According to the sealing envelope method, the participants were evenly divided into the study group (small needle-knife combined with rehabilitation training) and the control group (acupuncture combined with rehabilitation training), with n = 30. Inter-group comparison of muscle strength, muscle tone, balance ability, and daily living activity ability. Result: The muscle strength of the study group was higher than that of the baseline group (p < 0.05); The muscle tone of the research group was lower than that of the baseline group (p < 0.05); The balance ability and daily living activity ability of the research group were higher than those of the basic group (p < 0.05). Conclusion: The combination of a small needle knife and rehabilitation training can improve muscle strength and tension, balance ability, and daily living activity ability in patients with post-stroke hind limb muscle tone disorders.