| 谢凌锋,闫勃,许涛,肖少华,黄杰,韩肖华.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[J].中国康复,2015,30(4):250-252 |
| 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 |
| Effects of unstable tablet training on the motor function and the activities of daily living in hemiplegia stroke patients |
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| DOI： |
| 中文关键词: 本体感觉 平衡能力 PNF |
| 英文关键词: proprioception balance proprioceptive neuromuscular facilitation |
| 基金项目:国家科技部“十二五”科技支撑计划课题（2011BAI08B11）；华中科技大学同济医学院附属同济医院院基金（2013） |
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| 中文摘要: |
| 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。 |
| 英文摘要: |
| 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=15) and control group (n=15) by the order of admission. The study group was treated with conventional rehabilitation treatments, pharmacotherapy and the unstable tablet training, and the control group was given conventional rehabilitation treatments, pharmacotherapy and proprioceptive neuromuscular facilitation (PNF). Tecnobody proprioceptive 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 proprioceptive 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 ability and activities of daily living (P>0.05). Conclusion: The unstable tablet training could better improve the proprioceptive ability and the lower limb motor function of hemiplegia stroke patients than PNF. |
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