丰富平衡训练对脑卒中偏瘫患者平衡功能的影响

摘要

Objective:To investigate effects of enriched balance training on balance function in stroke patients with hemiplegia.Methods:Forty stroke patients with hemiplegia with balance dysfunction were enrolled.They were di-vided into a normal balance training group and an enriched balance training group (n=20 each).The normal balance training group only received conventional balance treatment.On the basis of conventional balance treatment,the pa-tients in enriched balance training group received the task orientation program for balance training in enriched envi-ronment by using virtual reality technology.Berg balance scale (BBS)score,Timed Up and Go Test (TUGT)and the test of the standing balance in eye-opened condition by using the balance assessment equipment were used to e-valuate the patients of both groups before and 4 weeks after treatment.Results:Before treatment,there were no significant differences in various indicators between the two groups (P >0.05).After treatment,all the indicators including BBS scores were significantly increased,and the sway length,area in eye-opened condition and TUGT were significantly reduced in both groups as compared with those before treatment (P <0.05 or P <0.01).The im-proving degrees of BBS scores,the sway length in eye-opened condition,the area in eye-opened condition and TUGT in the enriched balance training group were all better than those in the normal balance training group (P <0.05 ). Conclusion:Enriched balance training could obviously improve the balance function in stroke patients with hemiple-gia.%目的：：探讨丰富平衡训练对脑卒中偏瘫患者平衡功能的影响。方法：选取40例符合入选标准的脑卒中偏瘫患者,随机分为2组各20例,常规组予以常规传统平衡训练,丰富组在常规训练的基础上,利用虚拟现实技术,模拟丰富环境,并结合任务导向性项目进行平衡训练；在治疗前、4周训练结束时评价2组患者 Berg 平衡量表评分(BBS)、平衡仪站立位睁眼静态平衡测试、“起立-行走”计时(TUGT)。结果：治疗4周后,2组 BBS 评分均较治疗前明显提高(P <0.05,0.01),且丰富组更优于常规组(P <0.05)；2组 TUGT 评分、运动轨迹长度及外周面积均较治疗前明显减少(P <0.05,0.01),且丰富组更低于常规组(P <0.05)。结论：丰富平衡训练对卒中后偏瘫患者的平衡功能有很好的改善作用。