| 杜雪晶,张通,刘元旻,朱晓敏,王亚囡.超声视觉反馈下的核心训练对脑卒中偏瘫患者腹横肌厚度及运动功能的影响[J].中国康复,2021,36(3):135-139 |
| 超声视觉反馈下的核心训练对脑卒中偏瘫患者腹横肌厚度及运动功能的影响 |
| Effects of core training under ultrasonic visual feedback on transverse abdominal muscle thickness and motor function in stroke patients with hemiplegia |
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| DOI： |
| 中文关键词: 腹横肌厚度 核心训练 肌骨超声 深感觉障碍 偏瘫 |
| 英文关键词: transverse abdominis thickness core training musculoskeletal ultrasound deep sensory disturbance hemiplegia |
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| 中文摘要: |
| 目的：探讨肌骨超声视觉反馈作用下的核心训练相比传统核心训练对脑卒中偏瘫患者患侧腹横肌厚度及运动功能的影响。方法：选取48例脑卒中偏瘫患者随机分为观察组和对照组各24例，观察组进行超声视觉反馈下的核心训练及常规康复训练，对照组进行传统核心训练及常规康复训练。分别在治疗前、治疗4周后测量2组患者患侧腹横肌厚度和深感觉障碍者腹横肌厚度，采用 Brunel平衡量表（BBA）、Hauser步行指数、脑卒中姿势控制量表(PASS)对患者进行评定。结果：治疗4周后，2组患者患侧腹横肌厚度较治疗前均显著增加(均P＜0.01)，观察组深感觉障碍患者的腹横肌厚度较治疗前和对照组均显著增加（均P＜0.01），BBA和PASS评分较治疗前均明显提高(均P＜0.01)，Hauser评分较治疗前均明显降低(均P＜0.01)；且观察组BBA评分更高于对照组(P＜0.05)，但2组患侧腹横肌厚度、Hauser评分及PASS评分治疗前后比较差异均无统计学意义。结论：超声视觉反馈作用下的核心训练不仅可以提高偏瘫患者患侧腹横肌厚度，尤其对深感觉障碍患者效果显著，而且可以改善他们的平衡功能、促进运动功能恢复。 |
| 英文摘要: |
| Objective:To explore the effect of core training under the musculoskeletal ultrasonic visual feedback on affected-side transverse abdominal muscle thickness and motor function in stroke patients in comparison with traditional core training.Methods: A total of 48 stroke hemiplegia patients were randomly assigned to the treatment group (n=24) and the control group (n=24). The treatment group received core training under ultrasonic visual feedback and conventional rehabilitation training, and the control group was given core training and conventional rehabilitation training only. The thickness of the transverse abdominal muscle on the affected side and the transverse abdominal muscle thickness of the patients with deep sensory disturbance were measured. Brunel Balance Assessment (BBA) score, Hauser walking index and Postural Assessment Scale for Stroke Patients (PASS) score were measured respectively before and 4 weeks after the treatment.Results: After 4 weeks of treatment, transverse abdominal muscle thickness on the affected side was increased in both groups (both P<0.01). The abdominal transverse muscle thickness of the patients accompanied by deep sensory disturbance in the treatment group was significantly greater than that before treatment and in the control group (both P<0.01). BBA and PASS scores were significantly increased and Hauser scores were significantly decreased after treatment in both groups as compared with those before treatment (all P<0.01), and the BBA scores in the treatment group were significantly higher than those in the control group (P<0.05). There was no significant difference in the transverse abdominal muscle thickness on the affected side, Hauser scores and PASS scores between the two groups before and after treatment.Conclusion: The core training under the ultrasonic visual feedback can not only improve the thickness of the transverse abdominis muscle on the affected side, especially for patients with deep sensory impairment, but also enhance the balance function and promote the recovery of motor function in patients with hemiplegia. |
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