Rood技术联合肌肉能量技术对脑卒中后上肢痉挛的影响

The effect of Rood technique combined with muscle energy technique on upper limb spasticity after stroke

摘要:

目的 探究多感觉刺激Rood技术联合肌肉能量技术（MET）治疗脑卒中后上肢痉挛的临床疗效。方法 选取2025年1月—2025年6月湖南省第二人民医院86例脑卒中住院患者为研究对象。将患者随机分为对照组（常规康复治疗）与观察组（在常规康复治疗基础上采用Rood联合MET技术），每组43例，1次/d，5次/周，连续治疗4周。观察患者治疗前后的改良Ashworth量表（MAS）、美国国立卫生研究院卒中量表（NIHSS）、Brunnstrom运动功能评分（BMS）、Fugl-meyer评分（FMA）、改良Barthel指数（MBI）等，以及谷氨酸（Glu）、γ-氨基丁酸（GABA）神经递质水平的变化。统计两组治疗有效率，比较疗效等级。结果 观察组治疗前后MAS、NIHSS、BMS、FMA、MBI、Glu、GABA的差值均大于对照组（P <0.05）。观察组治疗有效率为90.7%，对照组治疗有效率为79.1%，观察组的疗效优于对照组（P <0.05）。结论 Rood联合MET技术可以显著改善脑卒中后患者上肢各关节肌肉的痉挛程度，促进上肢运动功能恢复，提高患者日常生活能力，对神经功能缺损后的恢复起到明显促进作用，有效调节脑神经系统中的神经递质水平。两项技术实践操作的可行性和安全性高，值得临床推广运用。

Abstract:

Objective To investigate the clinical efficacy of multi-sensory stimulation Rood technique combined with muscle energy technique (MET) in the treatment of upper limb spasticity after stroke.Methods A total of 86 hospitalized patients with stroke admitted to The Second People's Hospital of Hunan Province from January 2025 to June 2025 were selected as the research objects. The patients were randomly divided into a control group (conventional rehabilitation therapy) and an observation group (Rood technique combined with MET on the basis of conventional rehabilitation therapy), with 43 cases in each group. The treatment was performed once a day, 5 times a week, for 4 consecutive weeks. Changes in modified Ashworth Scale (MAS), National Institutes of Health Stroke Scale (NIHSS), Brunnstrom Motor Function Score (BMS), Fugl-Meyer Assessment (FMA), Modified Barthel Index (MBI), as well as neurotransmitter levels of glutamate (Glu) and γ-aminobutyric acid (GABA) were observed before and after treatment. The treatment effective rate of the two groups was counted, and the efficacy grades were compared.Results The differences in observation indexes such as MAS, NIHSS, BMS, FMA, MBI, Glu and GABA before and after treatment in the observation group were all greater than those in the control group (P < 0.05). The treatment effective rate of the observation group was 90.7%, and that of the control group was 79.1%. The efficacy of the observation group was superior to that of the control group (P < 0.05).Conclusion Rood technique combined with muscle energy technique (MET) can significantly improve the spasm degree of muscles of each upper limb joint in patients after stroke, promote the recovery of upper limb motor function, improve the patients' daily living ability, play an obvious role in promoting the recovery after neurological deficit, and effectively regulate the neurotransmitter levels in the brain nervous system. The two techniques have high feasibility and safety in practical operation and are worthy of clinical promotion and application.