| 杨绪强,熊荣飞,王寿强,汪华琼,唐明秀,李敏,练晨曦.强化多平面躯干联合双重任务训练对脑卒中患者运动功能的影响[J].中国康复,2024,39(12):724-728 |
| 强化多平面躯干联合双重任务训练对脑卒中患者运动功能的影响 |
| Effects of intensive multiplanar trunk training combined with dual-task training on motor ability in stroke patients |
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| DOI：10.3870/zgkf.2024.12.004 |
| 中文关键词: 多平面躯干训练 脑卒中 双重任务训练 平衡 活动能力 跌倒风险 |
| 英文关键词: multiplanar trunk training stroke dual-task training balance mobility fall risk |
| 基金项目:宜宾市卫生健康委员会医学科研项目（2022YW012）；成都医学院本科教育教学改革项目（JG2023055） |
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| 中文摘要: |
| 目的：观察强化多平面躯干训练结合双重任务训练对脑卒中患者平衡、活动能力和跌倒风险的疗效。方法：选取符合标准的脑卒中患者84例，随机分为研究组和对照组，各42例。对照组给予传统康复治疗，研究组在对照组治疗基础上予以强化多平面躯干训练，并结合双重任务训练，分别在干预前后采用躯干损伤量表(TIS)、Berg平衡量表（BBS）、10m步行测试（10-MWT）、起立-行走测试（TUG）、Fugl -Meyer运动功能评估量表下肢部分(FMA-LE)、改良Barthel指数(MBI)对患者进行评估治疗效果。结果：干预4周后、干预后3个月及6个月随访，2组患者TIS、10-MWT、FMA-LE、BBS、MBI评分高于干预前（P<0.05），2组TUG评分低于干预前（P<0.05），研究组TIS、10-MWT、FMA-LE、BBS、MBI评分均高于对照组（P<0.05 ），研究组TUG评分低于对照组（P<0.05）。结论：强化多平面躯干训练结合双重任务训练能显著改善脑卒中患者平衡、活动能力和日常生活能力，降低跌倒风险。 |
| 英文摘要: |
| Objective: To observe the effects of intensive multiplanar trunk training combined with dual-task training on balance, mobility and fall risk in stroke patients. Methods: Totally, 84 stroke patients were randomly assigned to the experimental group (n=42) and control group (n=42). The control group was given the traditional rehabilitation treatment program, and the experimental group was given intensive multiplane trunk training combined with dual-task training during the trunk training of the traditional rehabilitation treatment program, and the patients in each group were treated for 5 days a week for a total of 4 weeks. The primary outcome measure of the experimental and control groups was the trunk impairment scale (TIS) score. Secondary outcomes were Berg balance scale (BBS), 10-meter walk test (10-MWT), time up and go test (TUG), Fugl-Meyer assessment-lower extremity (FMA-LE), modified Barthel Index (MBI) scores. All outcomes were performed before the intervention, assessed at 4th week post-intervention, and followed up at 3rd and 6th months post-intervention. Results: After 4 weeks of intervention, 3 months of follow-up, and 6 months of follow-up, the scores of TIS, BBS, 10-MWT, TUG, FMA-LE, and MBI were significantly improved in the two groups as compared with those before treatment (P<0.05). The comparison between the two groups showed that the scores of each index in the experimental group were better than those in the control group, and the differences were statistically significant (P<0.05). There was an interaction between the group and the intervention before and after the intervention, and the improvement in the experimental group was more obvious than that in the control group (P<0.05). Conclusion: Intensive multiplane trunk training combined with dual-task training can significantly improve balance, mobility, and daily living ability of stroke patients, and reduce the risk of falls. |
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