| 符文君,许明,陈爱连,李琛,艾坤,刘乔夫,刘英姣,张泓.前庭康复联合头针治疗对脑卒中患者平衡功能及平衡信心的影响[J].中国康复,2024,39(12):719-723 |
| 前庭康复联合头针治疗对脑卒中患者平衡功能及平衡信心的影响 |
| Effects of vestibular rehabilitation combined with scalp acupuncture on balance function and balance confidence in stroke patients |
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| DOI：10.3870/zgkf.2024.12.003 |
| 中文关键词: 脑卒中 前庭康复 头针 平衡功能 平衡信心 |
| 英文关键词: stroke vestibular rehabilitation scalp acupuncture balance function balance confidence |
| 基金项目:湖南省卫生健康委科研计划项目（202103101709） |
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| 中文摘要: |
| 目的：观察前庭康复联合头针治疗对脑卒中患者平衡功能及平衡信心的影响。方法：选取脑卒中患者80例，随机分为对照组和观察组各40例。2组患者均进行脑卒中后的常规康复治疗，在此基础上，对照组增加头针治疗，观察组接受前庭康复训练联合头针治疗，持续治疗3周。在治疗前后，对2组患者分别采用Berg平衡量表(BBS）评定平衡功能，采用Prokin平衡测试系统静态评估睁眼和闭眼的运动面积和运动长度及动态评估患者的平均轨迹误差（ATE）和完成测试时间(TTE)，采用Barthel指数（BI）评定患者日常生活活动能力，采用特异性活动平衡信心量表（ABC）评定患者平衡信心。结果：治疗后，2组患者BBS、BI和ABC评分较治疗前均提高（P＜0.01），2组患者静态评估的睁眼和闭眼运动面积和运动长度及动态评估的平均轨迹误差（ATE）和完成测试时间(TTE)较治疗前均降低（P＜0.01）；观察组BBS、BI和ABC评分均高于对照组（P＜0.05），观察组静态评估的睁眼和闭眼运动面积和长度及动态评估的ATE和TTE均低于对照组（P＜0.05）。结论：前庭康复联合头针治疗能提高脑卒中患者的睁闭眼平衡稳定性和下肢动静态控制能力，改善患者平衡功能和强化平衡信心。 |
| 英文摘要: |
| Objective: To observe the effects of vestibular rehabilitation combined with scalp acupuncture therapy on balance function and activity balance confidence in stroke patients. Methods: A total of 80 stroke patients were randomly divided into a control group and an observation group, with 40 patients in each group. The control group received scalp acupuncture treatment, while the observation group received vestibular rehabilitation training on the basis of scalp acupuncture treatment. The treatments lasted for 3 weeks. Before and after treatment, the Berg balance scale (BBS) was used to assess the balance function of the patients, the Prokin balance test system was used to statically assess the patients’ moving area (S) and movement length (L) under open and closed eyes, and the patients’ average trajectory error (ATE) and the test completion time (TTE) were dynamically assessed, the Barthel index (BI) was used to assess the ability of patients’ daily living activities, and the specific activity balance confidence scale (ABC) was used to assess the balance confidence of the patients. Results: After treatment, the scores of BBS, BI and ABC in two groups were significantly improved as compared with those before treatment (P<0.01), and the moving area (S) and length (L) of static assessment under open and closed eyes, the average trajectory error (ATE) and the time to complete the test (TTE) in dynamic assessment were significantly lower than before treatment (P<0.01). After treatment, the BBS, BI and ABC scores in the observation group were significantly higher than those in the control group (P<0.05), and the moving area (S) and length (L) of static assessment under open and closed eyes, ATE and TTE of dynamic assessment in the observation group were significantly lower than those in the control group (P<0.05). Conclusion: Vestibular rehabilitation combined with scalp acupuncture therapy can improve the balance stability function under open and closed eyes and the static and dynamic control ability of lower limbs in stroke patients, and improve the balance function of patients and strengthen their confidence in activity balance. |
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