早期强化膝关节控制训练对脑卒中偏瘫患者下肢运动功能的影响分析

摘要

Objective To observe the effect of eary intensive control training of knee joint on lower limb motor function in patients with stroke and hemiplegia. Methods 90 patients with stroke in our hospital from December 2012 to June 2014 were randomly divided into treatment group and control group,45 patients in each group.Two groups accepted rou-tine rehabilitation,the control group were received conventional rehabilitation therapy,and treatment group were given with intensive control training of knee joint on the basis of control group.Berg balance scale (BBS),Fugl-Meyer assess-ment (FMA),function independent measure (FIM) was assessed before and after treatment. Results After 8 weeks treat-ment,BBS,FMA and FIM of two groups increased compared with before treatment,the difference was significant (P<0.05);and the improvement of treatment group was better than that of control group,the difference was significant (P<0.05). Con-clusion Eary intensive control training of knee joint can promote the recovery of lower limb motor function and daily life ability in patients with hemiplegia.%目的：探讨早期强化膝关节控制训练对脑卒中偏瘫患者下肢运动功能的影响。方法将2012年12月~2014年6月本院康复医学科住院的90例偏瘫患者随机分为治疗组和对照组，每组45例。两组患者在内科治疗的基础上，对照组接受常规康复治疗，治疗组在对照组的基础上加强化膝关节控制训练。分别于治疗前后对两组患者的Berg平衡量表(BBS)、Fugl-Meyer动功能量表(FMA)、功能性独立量表(FIM)进行评定，比较两组的治疗效果。结果8周治疗后，两组的BBS、FMA及FIM评分与治疗前比较，差异有统计学意义(P<0.05)，并且治疗组BBS、FMA及FIM评分改善明显优于对照组，差异有统计学意义(P<0.05)。结论早期强化膝关节控制训练对偏瘫患者下肢运动功能及日常生活能力的改善均有积极促进作用。