文章摘要
杨勤,赵艳玲,朱正坤,徐鸿辉,胡佛生,郭钦.Bobath球训练对脑卒中偏瘫患者平衡和步行能力的影响[J].中国康复,2014,29(4):247-249
Bobath球训练对脑卒中偏瘫患者平衡和步行能力的影响
Effect of Bobath ball training on balance and walking ability of patients with stroke-induced hemiplegia
  
DOI:
中文关键词: Bobath球训练  偏瘫  脑卒中  平衡功能  步行能力
英文关键词: Bobath ball training  hemiparalysis  stroke  balance function  walking ability
基金项目:
作者单位
杨勤 广东省工伤康复医院从化院区康复部物理治疗科广州 510970 
赵艳玲 广东省工伤康复医院语言治疗科广州 510970 
朱正坤 广东省工伤康复医院从化院区骨创烧伤康复科广州 510970 
徐鸿辉 广东省工伤康复医院从化院区康复部物理治疗科广州 510970 
胡佛生 广东省工伤康复医院从化院区康复部物理治疗科广州 510970 
郭钦 广东省工伤康复医院从化院区骨创烧伤康复科广州 510970 
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中文摘要:
  目的:探讨用Bobath球训练偏瘫患者躯干、骨盆及下肢,对其改善运动功能、平衡、日常生活活动能力及步行能力的影响。方法:将48例偏瘫患者随机分为对照组和观察组各24例,2组均进行常规康复治疗,而观察组则在常规训练基础上增加Bobath球训练患者的躯干、骨盆及下肢。治疗前后分别采用简化Fugle mayer评定法(FMA)、Berg平衡量表(BBS)、10m步行时间(10MWT)、6min内步行距离测定(6MWT)、Holden步行功能评定(FAC),以及改良Barthel指数(MBI)进行评定。结果:治疗4周后,2组患者FMA、BBS、MBI、FAC与6MWT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<0.05),2组10MWT较治疗前明显减少(P<0.01),且观察组更低于对照组(P<0.05)。结论:在常规康复训练的基础上进行Bobath球训练偏瘫患者,可以改善其运动功能、平衡功能和日常生活活动能力,提高其步行能力。
英文摘要:
  Objective:To discusses the effects of Bobath ball training for trunk,pelvis and lower limbs on balance and walking ability of patients with stroke-induced hemiplegia.Methods:The 48 patients were randomized into observation group and control group (n=24 each).All patients received standard physiotherapy,and the patients in observation group were given the Bobath ball training for the trunk,pelvis and lower limbs additionally.Patients was respectively evaluated using Simplified Fugle-mayer assessment (FMA),the Berg Balance Scale (BBS),10-m walking time test (10MWT),6-min walking distance test (6MWT),Holden walking function classification (FAC),and modified Barthel index (MBI).Results:The FMA,BBS,MBI,FAC,10MWT and 6MWT scores in two groups were all increased after treatment for 4 weeks as compared with those before treatment (P<0.01),more significantly in observation group than in control group (P<0.05).Conclusion:The Bobath ball training on the basis of conventional rehabilitation training in patients with hemiplegia can improve the motor function,balance function and activities of daily living, and walking ability.
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