Objective To explore the effects of modified sit-to-stand training on the balance ability in patients with stroke-induced hemiplegia. Methods The study enrolled 16 patients with first unilateral stroke. They were randomly assigned to traditional group and modified group. The difference between the two groups was that the latter added squat training in the procedure of traditional sit-to-stand training. Balance ability was evaluated by Berg Balance Scale and Dynamic Gait Index. Results The traditional group exhibited partial improvements of balance items in the scales. The modified group showed improvements in all items. Compared with the traditional group after training, there were more significant improvements in the modified group in five items: sitting to standing, standing to sitting, standing with feet together, reaching forward with outstretched arm and turning 360 degrees. Conclusions Sit-to-stand training can be effectively modified by using squat exercise and it is an available method which can improve balance ability of patients with hemiplegia.%目的 探讨改良坐站训练对卒中后偏瘫患者平衡功能的影响. 方法 首发单侧脑卒中患者16例,随机分为常规组和改良组.2组治疗方法差异在于改良组在坐站训练中增加了屈膝位的蹲踞动作控制点.采用Berg平衡功能量表和动态步态指数评定患者平衡功能. 结果 常规组在治疗后有部分平衡项目改善,而改良组所有项目均有显著改善,且在由坐位到站位、由站位到坐位、双足并拢站立不需扶持、手臂前伸、转身360°等项目比常规组显著改善. 结论 在传统坐站训练中增加屈膝位控制训练有助于改良坐站训练效果,改善患者平衡功能.
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