| 汪奕鸣,张伟明,仲颖.外周前庭训练对脑卒中恢复期患者平衡功能的影响[J].中国康复,2022,37(8):460-463 |
| 外周前庭训练对脑卒中恢复期患者平衡功能的影响 |
| Effect of peripheral vestibule training on balance function of rehabilitative period of stroke patients |
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| DOI： |
| 中文关键词: 外周前庭训练 脑卒中恢复期 平衡功能 |
| 英文关键词: peripheral vestibule training rehabilitative period of stroke balance function |
| 基金项目:上海市瑞金康复医院院级课题（RKYN202014） |
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| 中文摘要: |
| 目的：探讨前庭训练对脑卒中恢复期患者平衡功能的影响。方法：选取34例脑卒中恢复期患者为研究对象，并随机分为对照组与观察组各17例，对照组进行常规康复训练，观察组在进行常规康复训练的同时进行前庭训练。比较2组治疗前后的Berg平衡功能量表评分(BBS)、Fugl-Meyer下肢功能评估量表（FMA-LE）以及Tetrax平衡功能诊断及训练系统测定的中枢前庭与周围前庭跌倒风险指数的数值差异。结果：训练一周后，2组的平衡功能量表BBS与训练前比较均显著提高（P<0.05），且观察组明显高于对照组（P<0.05）。2组下肢功能量表FMA-LE与训练前比较均显著提高（P<0.05），但2组间评分无显著差异。2组的周围前庭跌倒风险指数F2-F4均有降低（P<0.05），且观察组较对照组显著降低（P<0.05），中枢前庭跌倒风险指数F7-F8得分2组差异无统计学意义。结论：前庭训练能有效改善脑卒中恢复期患者的外周前庭功能，存在提高偏瘫患者平衡功能的可能性。 |
| 英文摘要: |
| Objective: To probe into the effect of vestibule training on balance function of rehabilitative period of stroke patients. Methods: A total of 34 patients with rehabilitative period of stroke were selected as the research objects, and randomly divided into the observation group and the control group, with 17 cases in each group. Patients in the control group received routine rehabilitation training, and those in the observation group were treated with vestibule training and routine rehabilitation training at the same time. Then, the Berg balance scale (BBS), the Fugl-Meyer Assessment of lower limbs (FMA-LE), and the fall index of central vestibule and peripheral vestibule of Tetrax Balance Function Diagnosis and Training System were used to compare the scores between the two groups. Results: After one week of training, BBS scores in both groups were significantly increased as compared with those before training (P<0.05), and those in the experimental group were significantly higher than in the control group. Compared with before training, FMA scores of lower limbs function scale were significantly improved in both groups (P<0.05), but there was no significant difference in scores between the two groups (P>0.05). The peripheral vestibular fall risk index F2-F4 in both groups was lower than that before training (P<0.05), and that in the experimental group was significantly lower than that in the control group (P<0.05), while the central vestibular fall risk index F7-F8 in the two groups had no statistically significant difference . Conclusion: Vestibular training could effectively improve the peripheral vestibular function of stroke patients in the convalescent stage, and there is a possibility to improve the balance function of hemiplegia patients. |
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