脑卒中后异常步态功能针刺干预机制探析
Analysis of Acupuncture Intervention Mechanism of Abnormal Gait Function after Stroke
DOI: 10.12677/TCM.2019.81011, PDF,    科研立项经费支持
作者: 姜闻宇, 颜 智, 于子惠, 陈 爽, 宫 华:辽宁师范大学体育学院,辽宁 大连;邵 明:四川省康复医院,四川 成都;韩冰雪:大连港医院,辽宁 大连
关键词: 脑卒中异常步态功能训练针刺Cerebral Apoplexy Abnormal Gait Functional Training Acupuncture
摘要: 脑卒中后,患者平衡能力和步态功能的重建是康复训练的首要目标。而脑卒中后异常步态是属于脑卒中后常见的功能遗症之一。有研究表明,针刺结合康复功能训练能有效刺激神经受损的功能,促进肢体功能障碍恢复,从而改善异常步态的状况。该文从功能针刺对脑卒中后异常步态的干预研究进行探析,希望为临床提供理论支撑。
Abstract: After stroke, the reconstruction of balance ability and gait function is the primary goal of reha-bilitation training. The abnormal gait after stroke is one of the common functional disorders af-ter stroke. Studies have shown that acupuncture combined with rehabilitation function training can effectively stimulate the function of nerve damage, promote the recovery of limb dysfunc-tion, and thus improve the condition of abnormal gait. This paper explores the intervention of functional acupuncture on abnormal gait after stroke, hoping to provide theoretical support for clinic.
文章引用:姜闻宇, 邵明, 韩冰雪, 颜智, 于子惠, 陈爽, 宫华. 脑卒中后异常步态功能针刺干预机制探析[J]. 中医学, 2019, 8(1): 53-56. https://doi.org/10.12677/TCM.2019.81011

参考文献

[1] Donnan, G.A., Fisher, M., Macleod, M., et al. (2008) Stroke. The Lancet, 371, 1612-1623. [Google Scholar] [CrossRef
[2] Bhalla, A. and Hargroves, D. (2008) Does Early Medical Intervention Have a Role in the Management of Intracerebral Haemorrhage. International Journal of Clinical Practice, 62, 633-641.
[3] Donnan, G.A., Hankey, G.J. and Davis, S.M. (2010) Intracerebral Haemorrhage: A Need for More Data and New Research Directions. The Lancet Neurology, 9, 133-134. [Google Scholar] [CrossRef
[4] Douahue, S.W. and Sharkey, N.A. (1999) Strains in the Metatarsals during the Stance Phase of Gait. The Journal of Bone and Joint Surgery. American Volume, 81, 1236-1244. [Google Scholar] [CrossRef] [PubMed]
[5] Baber, S., Michalitsis, J., Fahey, M., Rawicki, B., Haines, T. and Williams, C. (2016) A Comparison of the Birth Characteristics of Idiopathic Toe Walking and Toe Walking Gait Due to Medical Reasons. The Journal of Pediatrics, 171, 290-293. [Google Scholar] [CrossRef] [PubMed]
[6] Chia, N., Ambrosini, E., Baccinelli, W., Nardone, A., Monticone, M., Ferrigno, G., Pedrocchi, A. and Ferrante, S. (2015) A Multi-Channel Biomimetic Neuroprosthesis to Support Treadmill Gait Training in Stroke Patients. 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2015, 7159-7162.
[7] Calabrò, R.S., Cacciola, A., Bertè, F., Manuli, A., Leo, A., Bramanti, A., Naro, A., Milardi, D. and Bramanti, P. (2016) Robotic Gait Rehabilitation and Substitution Devices in Neurological Disorders: Where Are We Now? Neurological Sciences, 37, 503-514. [Google Scholar] [CrossRef] [PubMed]
[8] Park, B.S., Noh, J.W., Kim, M.Y., Lee, L.K., Yang, S.M., Lee, W.D., Shin, Y.S., Kim, J.H., Lee, J.U., Kwak, T.Y., Lee, T.H., Kim, J.Y., Park, J. and Kim, J. (2015) The Effects of Aquatic Trunk Exercise on Gait and Muscle Activity in Stroke Patients: A Randomized Controlled Pilot Study. Journal of Physical Therapy Science, 27, 3549-3553. [Google Scholar] [CrossRef] [PubMed]
[9] Lin, C.C., Creath, R.A. and Rogers, M.W. (2016) Variability of Anticipatory Postural Adjustments during Gait Initiation in Individuals with Parkinson Disease. Journal of Neurologic Physical Therapy, 40, 40-46. [Google Scholar] [CrossRef
[10] Khanmohammadi, R., Talebian, S., Hadian, M.R., Olyaei, G. and Bagheri, H. (2016) Characteristic Muscle Activity Patterns during Gait Initiation in the Healthy younger and Older Adults. Gait Posture, 43, 148-153. [Google Scholar] [CrossRef] [PubMed]
[11] Biffi, E., Beretta, E., Diella, E., Panzeri, D., Maghini, C., Turconi, A.C., Strazzer, S. and Reni, G. (2015) Gait Rehabilitation with a High Tech Platform Based on Virtual Reality Conveys Improvements in Walking Ability of Children Suffering from Acquired Brain Injury. 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC), 2015, 7406-7409.
[12] 张阳, 曹江鹏, 蔡兴慧, 等. 针刺通过调节神经营养因子修复神经损伤研究进展[J]. 安徽中医药大学学报, 2014, 33(6): 90-94.
[13] 李千穗, 雷迈. 计算机辅助训练联合Schuell刺激疗法治疗脑卒中后失语症的效果[J]. 广西医学, 2017, 39(7): 948-951.
[14] 舒兆瑞, 王兵, 杨道海, 等. 针刺对缺血性脑卒中患者血浆自由基水平的影响[J]. 中国老年学杂志, 2015(35): 4540-4541.
[15] 刘艺, 黄敬. 脑卒中偏瘫患者3种步行训练方法的效果比较[J]. 中国康复理论与实践, 2014, 20(3): 272-275.
[16] 陈立典, 郭晓琳, 陶静, 张兵. 针刺治疗结合肌力训练对脑卒中后偏瘫患者步行能力的影响[J]. 中国康复医学杂志, 2006, 21(2): 136-139.
[17] 杨妮, 杨凯. 运动康复功能锻炼联合针灸疗法对急性脑卒中偏瘫患者肢体运动功能和日常生活活动能力的影响. 中国中医急症, 25(3): 502-504.
[18] 范江. 针灸、推拿和康复训练对脑卒中偏瘫下肢功能恢复的疗效观察[J]. 四川中医, 2001, 19(2): 69-71.