躯干肌训练对脑卒中偏瘫患者平衡和运动功能的影响

摘要

目的 探讨强化躯干肌训练对脑卒中偏瘫患者平衡和运动功能的影响.方法 96例偏瘫患者分成治疗组和对照组各48例.两组采用常规康复治疗方法,治疗组增加躯干控制训练.治疗前后两组患者采用躯干控制能力测试(TCT)、Berg平衡功能量表(BBS)、改良的Barthel指数(MBI)、功能性步行分级(FAC)、Fugl-Meyer运动功能评定(FMA)和步速(WS)进行评定.结果 两组患者治疗后TCT、BBS、MBI、FAC、FMA评分和步速较治疗前明显改善(P＜0.01),且治疗组优于对照组(P＜0.05).治疗组TCT分别与BBS、MBI、FAC、FMA评分和步速呈正相关(P<0.05).结论 早期躯干控制训练能进一步提高偏瘫患者平衡和运动功能.%Objective To study the effect of consolidated trunk muscle training on balance and motor function in patients with hemiplegia after stroke. Methods 96 patients were divided into treatment group (48 cases) and control group (48 cases). All the patients received regularly rehabilitation, and the patients in the treatment group received the control ability training in the trunk muscle in addition. They were assessed with Trunk Control Test (TCT), Berg Balance Scale (BBS), Modified Barthel Index (MBI),Functional Ambulation Category (FAC), Fugl-Meyer Assessment (FMA) and walking speed (WS) before and after the treatment.Results The scores of TCT, BBS, FAC, MBI, WS and FMA improved significantly in both groups after treatment (P＜0. 01), and improved more in the treatment group than in control group (P＜0. 05). The scores of TCT correlated with those of BBS, MBI,FAC, FMA, and WS (P＜0. 05). Conclusion The consolidated trunk muscle training can obviously improve balance and motor function of stroke patients.