PNF技术对脑卒中偏瘫患者上肢屈曲共同模式疗效的研究

注册号:

Registration number:

ChiCTR2600124087 

最近更新日期:

Date of Last Refreshed on:

2026-05-07 11:53:25 

注册时间:

Date of Registration:

2026-05-07 00:00:00 

注册号状态:

补注册

Registration Status:

Retrospective registration

注册题目:

PNF技术对脑卒中偏瘫患者上肢屈曲共同模式疗效的研究

Public title:

A Study on the Efficacy of PNF Technique in Improving Upper Limb Flexion Synergy Pattern in Stroke Patients with Hemiplegia

注册题目简写:

English Acronym:

研究课题的正式科学名称:

PNF技术对脑卒中偏瘫患者上肢屈曲共同模式疗效的研究

Scientific title:

A Study on the Efficacy of PNF Technique in Improving Upper Limb Flexion Synergy Pattern in Stroke Patients with Hemiplegia

研究课题代号(代码):

Study subject ID:

在二级注册机构或其它机构的注册号:

The registration number of the Partner Registry or other register:

申请注册联系人:

马贵龙 

研究负责人:

马贵龙 

Applicant:

Guilong Ma 

Study leader:

Guilong Ma 

申请注册联系人电话:

Applicant telephone:

+86 158 0175 8778

研究负责人电话:

Study leader's
telephone:

+86 158 0175 8778

申请注册联系人传真 :

Applicant Fax:

研究负责人传真:

Study leader's fax:

申请注册联系人电子邮件:

Applicant E-mail:

maguilong830@126.com

研究负责人电子邮件:

Study leader's E-mail:

maguilong830@126.com

申请单位网址(自愿提供):

Applicant website(voluntary supply):

研究负责人网址(自愿提供):

Study leader's website(voluntary supply):

申请注册联系人通讯地址:

上海市虹口区三门路1279号

研究负责人通讯地址:

上海市虹口区三门路1279号

Applicant address:

No. 1279 Sanmen Road, Hongkou District, Shanghai

Study leader's address:

No. 1279 Sanmen Road, Hongkou District, Shanghai

申请注册联系人邮政编码:

Applicant postcode:

研究负责人邮政编码:

Study leader's postcode:

申请人所在单位:

上海市第四人民医院

Applicant's institution:

Shanghai Fourth People's Hospital

研究负责人所在单位:

上海市第四人民医院

Affiliation of the Leader:

Shanghai Fourth People's Hospital

是否获伦理委员会批准:

Approved by ethic committee:

Yes

伦理委员会批件文号:

Approved No. of ethic committee:

2025140-001

伦理委员会批件附件:

Approved file of Ethical Committee:

查看附件View

批准本研究的伦理委员会名称:

上海市第四人民医院医学伦理委员会

Name of the ethic committee:

Medical Ethics Committee of Shanghai Fourth People's Hospital

伦理委员会批准日期:

Date of approved by ethic committee:

2025-12-16 00:00:00

伦理委员会联系人:

赵佳琦

Contact Name of the ethic committee:

Jiaqi Zhao

伦理委员会联系地址:

上海市虹口区凉城路1319号1号楼

Contact Address of the ethic committee:

Building 1, No. 1319 Liangcheng Road, Hongkou District, Shanghai

伦理委员会联系人电话:

Contact phone of the ethic committee:

+86 21 5560 3999

伦理委员会联系人邮箱:

Contact email of the ethic committee:

研究实施负责(组长)单位:

上海市第四人民医院

Primary sponsor:

Shanghai Fourth People's Hospital

研究实施负责(组长)单位地址:

上海市虹口区三门路1279号

Primary sponsor's address:

No. 1279 Sanmen Road, Hongkou District, Shanghai

试验主办单位(项目批准或申办者):

Secondary sponsor:

国家:

中国

省(直辖市):

上海市

市(区县):

Country:

china

Province:

Shanghai

City:

单位(医院):

上海市第四人民医院

具体地址:

上海市虹口区三门路1279号

Institution
hospital:

Shanghai Fourth People's Hospital

Address:

No. 1279 Sanmen Road, Hongkou District, Shanghai

经费或物资来源:

自筹

Source(s) of funding:

self-funded

研究疾病:

脑卒中  

Target disease:

stroke

研究疾病代码:

Target disease code:

研究类型:

干预性研究

Study type:

Interventional study

研究所处阶段:

其它 

Study phase:

N/A

研究设计:

单臂 

Study design:

Single arm 

研究目的:

本研究旨在通过表面肌电图(sEMG)技术,客观、定量地探究PNF技术对脑卒中偏瘫患者上肢屈曲共同模式中多关节肌群协同运动的作用机制。通过比较患者在接受PNF干预前后,其患侧上肢在执行屈曲模式时各关键肌肉肌电信号(如积分肌电值、协同收缩率)的变化,并以健侧作为功能恢复的参照基准,从而量化PNF技术对异常运动模式的改善程度,最终为PNF的临床应用提供更为科学的循证医学证据。  

Objectives of Study:

This study aims to objectively and quantitatively explore the mechanism underlying the effect of the PNF technique on the coordinated movement of multi - joint muscle groups in the upper limb flexion synergy pattern of stroke patients with hemiplegia, by means of surface electromyography (sEMG). By comparing the changes in electromyographic signals (such as integrated electromyography (iEMG) values and co - contraction ratios) of key muscles in the affected upper limb when performing the flexion pattern before and after the patients receive PNF intervention, and using the unaffected side as the reference standard for functional recovery, this study quantifies the improvement degree of the PNF technique on abnormal movement patterns, and ultimately provides more scientific evidence - based medical evidence for the clinical application of the PNF technique.

药物成份或治疗方案详述:

 

Description for medicine or protocol of treatment in detail:

 

纳入标准:

Inclusion criteria

排除标准:

1.肩痛明显,上肢各关节被动活动显著受限; 2.患有呼吸系统疾病、心肺功能异常、肝肾功能异常、血液系统疾病、蛛网膜下腔出血之一者; 3.病程>6个月; 4.肌张力过高; 5.无法完成本研究者。

Exclusion criteria:

1. Obvious shoulder pain with significant limitation of passive range of motion of each joint of the upper limb; 2. Suffering from any one of the following conditions: respiratory system diseases, cardiopulmonary dysfunction, hepatorenal dysfunction, hematological system diseases, or subarachnoid hemorrhage; 3. Disease course > 6 months; 4. Excessively high muscle tone; 5. Unable to complete the procedures of this study.

研究实施时间:

Study execute time:

From 2025-10-15 00:00:00 To 2026-06-30 00:00:00  

征募观察对象时间:

Recruiting time:

From 2025-10-23 00:00:00 To 2026-06-30 00:00:00

干预措施:

Interventions:

组别:

PNF干预组

样本量:

38

Group:

PNF Intervention Group

Sample size:

干预措施:

PNF技术

干预措施代码:

Intervention:

Proprioceptive Neuromuscular Facilitation technique

Intervention code:

研究实施地点:

Countries of recruitment and research settings:

国家:

中国

省(直辖市):

上海市 

市(区县):

 

Country:

China

Province:

Shanghai

City:

单位(医院):

上海市第四人民医院 

单位级别:

三乙 

Institution
hospital:

Shanghai Fourth People's Hospital

Level of the institution:

Grade Three, Class B

测量指标:

Outcomes:

指标中文名:

积分肌电值

指标类型:

主要指标

Outcome:

integral electromyo-graphic

Type:

Primary indicator

测量时间点:

干预前及干预4周后

测量方法:

Measure time point of outcome:

Before intervention and 4 weeks after intervention

Measure method:

指标中文名:

Fugl-Meyer评测法

指标类型:

次要指标

Outcome:

Fugl-Meyer Assessment

Type:

Secondary indicator

测量时间点:

干预前及干预4周后

测量方法:

Measure time point of outcome:

Before intervention and 4 weeks after intervention

Measure method:

指标中文名:

自理能力(ADL)

指标类型:

次要指标

Outcome:

Ability of daily living

Type:

Secondary indicator

测量时间点:

干预前及干预4周后

测量方法:

Measure time point of outcome:

Before intervention and 4 weeks after intervention

Measure method:

采集人体标本:

Collecting sample(s)
from participants:

标本中文名:

组织:

Sample Name:

None

Tissue:

人体标本去向

使用后销毁  

说明

Fate of sample:

Destruction after use  

Note:

征募研究对象情况:

Recruiting status:

正在进行

Recruiting

年龄范围:

Participant age:

最小 Min age 16 years
最大 Max age 96 years

性别:

男女均可

Gender:

Both

随机方法(请说明由何人用什么方法产生随机序列):

Randomization Procedure (please state who generates the random number sequence and by what method):

None

是否公开试验完成后的统计结果:

Calculated Results after the Study Completed public access:

公开/Public

盲法:

Blinding:

试验完成后的统计结果(上传文件):

Calculated Results after
the Study Completed(upload file):

是否共享原始数据:

IPD sharing

是Yes

共享原始数据的方式(说明:请填入公开原始数据日期和方式,如采用网络平台,需填该网络平台名称和网址):

公开日期:实验完成后公开 共享方式:通过临床实验公共管理平台如ResMan,同时需与研究者本人联系索取

The way of sharing IPD”(include metadata and protocol, If use web-based public database, please provide the url):

Public release date: After the completion of the experiment. Sharing method: Through clinical trial public management platforms such as ResMan, and also contact the researcher directly to obtain.

数据采集和管理(说明:数据采集和管理由两部分组成,一为病例记录表(Case Record Form, CRF),二为电子采集和管理系统(Electronic Data Capture, EDC),如ResMan即为一种基于互联网的EDC:

采集采用病例报告表。数据管理:本研究数据将由专人负责管理,采用加密电子存储与纸质档案双备份形式保存。数据访问权限严格分级,仅授权研究人员凭专用账号密码调取。涉及个人隐私信息将进行匿名化、去标识化处理,传输过程采用安全加密协议。研究结束后,数据保存十年,期满后按规定程序安全销毁,确保受试者数据安全与隐私保护。

Data collection and Management (A standard data collection and management system include a CRF and an electronic data capture:

Data collection was performed using a Case Report Form (CRF). Data management: The data of this study will be managed by designated personnel and stored in the form of dual backups including encrypted electronic storage and paper files. Data access permissions are strictly graded, and only authorized researchers can retrieve the data with dedicated accounts and passwords. Personal privacy information involved will be anonymized and de-identified, and secure encryption protocols will be adopted during transmission. After the completion of the study, the data will be retained for 10 years and safely destroyed in accordance with the prescribed procedures upon expiration, so as to ensure the data security and privacy protection of the subjects.

数据与安全监察委员会:

Data and Safety Monitoring Committee:

暂未确定/Not yet

注册人:

Name of Registration:

 2026-05-07 11:53:06