| 刘孟,倪朝民,陈进,范文祥,穆景颂,王丽,庄建海.早期坐-站转移训练对亚急性脑卒中偏瘫患者平衡功能的影响[J].中国康复,2015,30(5):335-338 |
| 早期坐-站转移训练对亚急性脑卒中偏瘫患者平衡功能的影响 |
| Balance outcomes after early sit-to-stand training in sub-acute stroke patients |
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| DOI： |
| 中文关键词: 脑卒中 坐-站转移 平衡 |
| 英文关键词: stroke sit-to-stand balance |
| 基金项目:安徽省科技厅年度重点科研项目(11070403064) |
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| 中文摘要: |
| 目的：探讨早期坐-站训练对亚急性脑卒中偏瘫患者平衡功能的影响。方法：44例亚急性不能独立完成坐-站转移的脑卒中偏瘫患者随机分为2组各22例，均接受常规康复治疗，对照组给予常规辅助下坐-站转移训练；观察组患者采用患足置后下辅助坐-站转移训练。训练前后采用Berg平衡量表(BBS)评估2组患者的平衡功能、AL-080平衡功能评估系统测试2组患者训练前后坐位静态下压力中心点的轨迹长（SLsi）、坐位稳定极限下压力中心点的最大面积（SAsi）、训练后独立完成坐-站转移时间（T）、双下肢负重差异（ALD）、足底压力峰值（Fmax）以及站立静态下压力中心点的轨迹长（SLst）、站立稳定极限下压力中心点的最大面积（SAst）。结果：训练2周后，2组SLsi评分均较训练前明显下降(P<0.01)，且观察组更低于对照组(P<0.05)；2组SAsi及BBS评分均较训练前明显提高(P<0.01)，且观察组更高于对照组(P<0.05)。训练后， 观察组完成坐-站转移所需的时间、健侧下肢负重及ALD评分均明显低于对照组(P<0.05)，观察组患侧下肢负重、Fmax及动态SAst评分均明显高于对照组(P<0.05)；2组SLst评分比较差异无统计学意义。结论：早期坐-站转移训练能更好地促进脑卒中偏瘫患者平衡功能提高，且采用患足置后下坐-站转移训练效果更佳。 |
| 英文摘要: |
| Objective: To determine the effectiveness of conventional assisted sit-to-stand (STS) training in sub-acute stroke patients. Methods: Forty-four hemiplegic patients with stroke in sub-acute stage who were unable to independently stand up from a standard chair without using hands were randomly assigned to the control and experimental groups (n=22 for each group). All patients were regularly treated with physical training. Patients in the control group were given the conventional assisted STS training, and those in the experimental group were given the assisted STS training in which the paretic foot was placed posteriorly. All subjects received the STS training for 30 min each day, 5 times a week for 4 weeks, with a physiotherapy assistant. The Berg Balance Scale (BBS) was used to assess the the balance function. The AL-080 Balance Assessment System was used to assess the sitting balance parameters ［The center of pressure sway length (SLsi) during the quiet sitting and the center of pressure sways areas (SAsi) in the dynamic sitting］, STS parameters ［The time, average load difference between left and right (ALD) and peak vertical ground reaction forces (Fmax)］ and the standing balance parameters ［The center of pressure sway length (SLst) during the quiet standing and the center of pressure sways areas (SAst) in the dynamic standing］. Results: After two-week training, SLsi was obviously decreased (P<0.01), and SAsi and BBS were obviously increased in two groups (P<0.01), more significantly in the experimenal group than in the control group (P<0.05). After the training, the time required for sit-to-stand movement, the loading of the paretic foot and ALD were decreased significantly, the loading of the non-paretic foot Fmax and SAst was significantly increased in the experimental group as compared with the control group (P<0.05). There was no significanl difference in SLst between two groups. Conclusion: The early STS training can promote the recovery of the balance function in sub-acute stroke patients better, more effective in the STS with the paretic foot posterior. |
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