文章摘要
毛利,牟翔,袁华,胡旭,孙玮.家属指导的髋外展肌群训练对偏瘫患者的影响[J].中国康复,2017,32(4):302-305
家属指导的髋外展肌群训练对偏瘫患者的影响
Effect of supervisory hip abductor trainings by family members in hemiplegic patients
  
DOI:
中文关键词: 髋外展肌群训练  偏瘫  家庭康复
英文关键词: hip abductor training  hemiplegia  home rehabilitation
基金项目:
作者单位
毛利 第四军医大学第一附属医院康复理疗科西安 710032 
牟翔 第四军医大学第一附属医院康复理疗科西安 710032 
袁华 第四军医大学第一附属医院康复理疗科西安 710032 
胡旭 第四军医大学第一附属医院康复理疗科西安 710032 
孙玮 第四军医大学第一附属医院康复理疗科西安 710032 
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中文摘要:
      目的:探讨家属指导的髋外展肌群训练对偏瘫患者的影响。方法:50例卒中患者,随机分入家庭组和治疗师组各25例,2组患者均接受相同的常规康复治疗。在此基础上,家属指导家庭组患者进行髋外展肌群训练,治疗师指导治疗师组患者进行髋外展肌群训练。分别在治疗前和治疗6周后采用Berg平衡量表(BBS)、Fugl-Meyer下肢运动功能评定(FMA-LE)、徒手肌力检查(MMT)、Holden功能性步行量表(FAC)及功能独立性测量(FIM)中的“行走/轮椅”进行评定。结果:治疗6周后,2组的BBS、FMA-LE、MMT、FAC及FIM量表评定均较治疗前明显提高(P<0.05),2组间比较均差异无统计学意义。结论:家属指导的髋外展肌群训练和治疗师指导的髋外展肌群训练均能明显改善脑卒中患者的平衡和步行能力,且2组效果无明显差异,提示髋外展肌群训练可加入家庭康复。
英文摘要:
      Objective: To investigate the effect of supervisory hip abductor trainings by family members in hemiplegic patients. Method: Fifty hemiplegic patients after stroke were randomly divided into family group (n=25) and therapist group (n=25). Both two groups received the same conventional rehabilitation therapies. The family member trained hip abductor of patients in the family group, and the physical therapist trained hip abductor of patients in the therapist group (40 min/day, 6 days/week for consecutive 6 weeks). All patients were assessed before and 6 weeks after trainings with Berg balance scale (BBS), Fugl-Meyer assessment of lower extremity (FMA-LE), manual muscle testing (MMT), Holden functional ambulation category scale (FAC) and "walk/wheelchair" of functional independence measurement (FIM). Results: After trainings for 6 weeks, both groups had significant improvement in BBS, FMA-LE, MMT, FAC and FIM (P<0.05), but there was no significant difference between two groups. Conclusion: Both supervisory hip abductor trainings of hemiplegic patients after stoke by family member and therapist can improve balance and gait. The study revealed supervisory hip abductor trainings can be involved in home rehabilitation of hemiplegic patients.
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