1、【中文摘要】1.探討綜合康復療法對腦卒中后偏癱患者膝反張的治療效果；2.分析腦卒中后膝反張形成的機制。為臨床上尋求一種更有效、綜合的康復干預措施提供依據。方法選擇符合入選標準的腦卒中后膝反張的患者41例,隨機分成對照組20例和治療組21例。兩組患者均給予常規的藥物治療和康復訓練，治療組在此基礎上給予綜合康復療法，即改善股四頭肌胭繩肌小腿三頭肌的肌力肌張力、促進伸屈肌的協調性訓練、本體感覺恢復等。分別于治療前、治療4周后對膝反張的角度，踝關節被動背伸的角度，患側股四頭肌、胭繩肌肌力，股四頭肌、腓腸肌肌張力，Barthel指數，下肢Fugl-Meyer運動功能進行評定。所有數據采用SPSS16.0

2、統計軟件包進行統計分析。結果1.兩組患者膝反張的角度均有明顯改善，但治療組與對照組比較差異有顯著性(pv0.05);兩組患者膝反張的糾正率均有明顯改善，但治療組與對照組比較差異有顯著性(pv0.05);2.兩組患者踝關節被動背伸的角度均有明顯改善，但治療組與對照組比較差異有顯著性(pv0.05)；3.兩組患者股四頭肌、胭繩肌肌力，股四頭肌、腓腸肌肌張力均有明顯改善，但治療組與對照組比較差異有顯著性(p<0.05)；4.兩組患者ADL能力均有明顯改善，但治療組與對照組比較差異有顯著性(p<0.05)；5.兩組患者下肢運動功能均較治療前明顯改善，但治療組較對照組改善更為明顯(p<

3、0.05)。結論1.綜合康復療法對腦卒中后膝反張的患者ADL能力、下肢運動功能的提高有明顯改善作用，療效確切；2.膝反張形成是多因素共同作用所致【英文摘要】s1.Todiscusstheinflueneeofintegrativerehabilitatentherapyontherecoveryofstrokewithgenureeurvatum;2.Analysisformationmechanismofthepatientswithgenurecurvatum.Tosumup,seekingamoreeffectivemethodtoimprovekneefunctionafterstro

4、ke.Methods41patientswithstrokewererandomlydividedinto2groups(controlgroupandtreatmentgroup).Therewere20patientsincontrolgroup.Therewere21patientsintreatmentgroup.Twogroupsofpatientswerebygivenconventionaltreatmentandrehabilitationofdrugs.Onthisbasis,thetreatmentgroupwasgivencomprehensiverehabilitati

5、ontherapy.Concludingimprovethemusclepowerandmuscletoneofthequadriceps,hamstring,triceps.Promotingextensorflexorstrengthandcoordinationtrainingandrestoringproprioception.Beforethetreatmentandafter4weekstreatmentevaluatetheangleofthegenurecurvatum,themuscletoneofthequadricepsandtriceps,Barthelindex,Fu

6、gl-Meyerlowerextremitymotorfunction.AlldatawereprocessedbySPSS16.0package.ResultsI.Twogroupsofpatientswithgenurecurvatumshowedsignificantimprovement,butthetreatmentgroupcomparedwiththecontrolgrouptherewassignificantdifference(p<0.05);Thecorrectrateofshowedbigimprovement,butthetreatmentgroupcompar

7、edwiththecontrolgrouptherewassignificantdifference(p<0.05);2.Twogroupsofpatientsshowedsignificantimprovementwithpassiveankledorsiflexionangle,butthetreatmentgroupcomparedwiththecontrolgrouptherewassignificantdifference(p<0.05);3.Themusclepowerofquadriceps,hamstringandthemuscletoneofquadricepst

8、ricepshavesignificantlyimproved,butthetreatmentgroupcomparedthecontrolgrouptherewassignificantdifferenee(p<0.05);4.TwogroupsofpatientshavebigimprovementwithADLcapacity,butthetreatmentgroupcomparedthecontrolgrouptherewassignificantdifference(p<0.05);5.Thelowerextremitymotorfunctionhavesignificantlyimprovedcomparedwithbeforetreatments,butthetreatmentgroupimprovedmoresignificantlythanthecontrolgroup(p<0.05).Conclusions1ntegratedrehabilitationtherapyhasgreatimprovementwithADLcapacityandlowerextremitymotorfunctionofthepatientsofgenurecurvatum;2.Theformatio