针刺联合Prokin平衡训练仪对脑卒中患者的平衡稳定性影响

摘要

目的:观察针刺法合用Prokin平衡训练仪对脑卒中患者的动静时期平衡性障碍的治疗作用.方法:108例病患分为联合治疗组(n=58)和常规训练组(n=50),常规训练组采用常规康复训练进行治疗,联合治疗组在平衡训练仪训练反馈的基础上配合针灸治疗.两组分别在治疗6周后,根据Prokin平衡训练仪上动静态模块得出静态稳定性评估和多轴本体感受的评估数据,对比两组的静态稳定时压力中心的相关参数和动态平衡时稳定指数、平均轨迹误差.结果:静止稳定性模块,联合治疗组压力中心的前后标准差和左右标准差均显著低于常规训练组,前后左右平均运动速度显著低于常规训练组(P＜0.05),运动长度和面积均显著降低(P＜0.05).动态稳定性模块,联合治疗组下肢平均轨迹误差(average trace error,ATE)、测试执行时间(test time execution,TTE)及稳定指数(stability index,SI)指标与常规训练组比较均有差异,差异具有显著性意义(P＜0.05).结论:针灸治疗联合Prokin平衡训练仪治疗对脑卒中患者的静止平衡和动态平衡均起到较好的康复效果.%Objective:To observe the therapeutic effect of acupuncture combined with Prokin balance training instrument on the static and dynamic balance disturbance of stroke patients.Methods:The 108 patients were divided into the combined treatment group and the regular training group.The regular training group was treated with routine rehabilitation exercises and the combined treatment group was treated with acupuncture on the basis of training feedback of the balance training instrument.After 6 weeks,the evaluation data of static stability assessment and multi-axial proprioceptive feeling are calculated according to the Prokin balance trainer.The relative parameters of the pressure center and the stability index and the mean trajectory error are compared with the static stability of the two groups.Results:Static stability module shows:the combined treatment group before and after the pressure center of about standard deviation and standard deviation were significantly lower than conventional training group,and the average velocity was significantly lower than conventional training group (P ＜ 0.05),length and area were significantly lower (P ＜ 0.05).Dynamic stability module shows:the lower extremities average trace error (ATE),test time execution (TTE) and stability index (SI) of combined treatment group were differences compared with the conventional training group,with significant difference (P ＜ 0.05).Conclusion:The experiment proved that the static balance and dynamic balance of the patients after acupuncture treatment have a better recovery effect.