基于体感互动的综合平衡训练对脑卒中偏瘫患者平衡功能的影响

摘要

目的:探讨基于体感互动的综合平衡训练对脑卒中偏瘫患者平衡能力的影响.方法:35例脑卒中偏瘫患者随机分为体感互动综合平衡训练组 (观察组) 18例和传统平衡训练组 (对照组) 17例.对照组进行传统平衡训练, 观察组利用体感互动技术, 结合任务导向性游戏项目进行平衡训练、躯干控制训练和下肢力量训练的综合平衡训练.治疗期间均配合常规康复治疗.分别在治疗前及治疗4周后进行静动态平衡功能评估.结果:治疗4周后, 2组Berg平衡量表 (BBS) 及Fugl-Meyer运动功能评分 (FMA) 下肢部分评分均较治疗前明显提高 (P＜0.01), 且观察组更高于对照组 (P＜0.01, 0.05) .治疗后, 观察组在睁眼站立、闭眼站立、脚前后站立时重心摆动速度和稳定时间评分均较治疗前及对照组显著降低 (P＜0.05, 0.01), 对照组在睁眼站立时重心摆动速度和稳定时间评分与治疗前比较显著降低 (P＜0.05, 0.01), 脚前后站立和闭眼站立时重心摆动速度与治疗前比较无显著性差异.结论:基于体感互动的综合平衡训练结合常规平衡训练能更有效的改善脑卒中偏瘫患者的静动态平衡能力.%Objective:To explore the effect of comprehensive balance training based on somatosensory interaction on the balance ability of stroke patients with hemiplegia. Methods:Thirty-five stroke patients with hemiplegia were randomly divided into observation group (n=18) and control group (n=17). The control group was given the traditional balance training. The observation group received balance training, trunk control training and lower limb strength training. The training was done using somatosensory interaction techniques, combined with mission-oriented games. During the treatment, regular rehabilitation treatment was used. Static and dynamic balance function was assessed before and 4 weeks after treatment. Results:After 4 weeks of treatment, BBS and FMA scores of lower limbs in both groups were significantly higher than before (P＜0.01), and those in the observation group were higher than in the control group (P＜0.01). After treatment, the observation group showed significant improvement in the time of stabilization and the average COP velocity when standing in open eyes, closed eyes, one foot in front (P＜0.01). The average COP velocity and the time of stabilization in control group were significantly improved as compared with those before treatment (P＜0.05, 0.01). There was no significant difference in the average COP velocity when standing in closed eyes and one foot in front. Conclusion:Comprehensive balance training based on somatosensory interaction combined with routine balance training can more effectively improve the static and dynamic balance function of stroke patients with hemiplegia.