移动式平板训练对脑卒中偏瘫患者的运动功能及日常生活活动能力的影响

摘要

目的：：观察移动式平板训练对脑卒中偏瘫患者本体感觉障碍的运动能力及日常生活活动能力的影响。方法：脑卒中偏瘫患者30例随机分为观察组和对照组各15例,2组患者均给予常规药物治疗及康复训练,观察组加用移动式平板训练进行本体感觉训练,对照组加用神经肌肉本体感觉促进疗法(PNF)进行治疗。治疗前后采用Tecnobody 本体感觉评估系统(ATE 及 Time 值)、Fugl-Meyer 下肢运动功能评定量表(FMA)、Berg 平衡量表(BBS)、改良 Barthel 指数评定表(MBI)评估2组患者的本体感觉、下肢运动功能、平衡能力及日常生活活动能力。结果：治疗8周后,2组 ATE 值及 Time 值均较治疗前明显降低(P <0.05),且观察组更低于对照组(P <0.05)；2组 FMA、BBS、MBI 评分均较治疗前明显提高(P <0.05),且观察组 FMA 评分较对照组明显提高(P <0.05),但BBS、MBI 评分2组间比较差异无统计学意义。结论：移动式平板训练对脑卒中偏瘫患者本体感觉及下肢运动功能的疗效优于 PNF 疗法；对于平衡能力及日常生活活动能力的改善,两者未见明显区别。%Objective:To study the effects of unstable tablet training on motor function and activity of daily living in hemiplegia stroke patients.Methods:A total of 30 hemiplegia stroke patients were divided into the study group (n=1 5)and control group (n=1 5)by the order of admission.The study group was treated with conventional reha-bilitation treatments,pharmacotherapy and the unstable tablet training,and the control group was given convention-al rehabilitation treatments,pharmacotherapy and proprioceptive neuromuscular facilitation (PNF).Tecnobody pro-prioceptive system assessment,Fugl-meyer lower limb assessment (FMA),Berg Balance Scale (BBS)and Modified Barthel Index (MBI)were used to evaluate the proprioceptive ability,lower limb motor function,balancing ability and activities of daily living before and 8 weeks after treatments.Results:After treatments for 8 weeks,the proprio-ceptive ability,lower limb motor function,balancing ability and activities of daily living were improved significantly (P <0.05)in both groups.The improvement in study group was superior to that in control group (P <0.05)in the proprioceptive ability and the lower limb motor function,but no significant difference was seen in the balancing abili-ty and activities of daily living (P >0.05).Conclusion:The unstable tablet training could better improve the propri-oceptive ability and the lower limb motor function of hemiplegia stroke patients than PNF.