| 赵薇薇,姚望,邓国刚,车培,吴明,黄桂兰,王彤.改良八段锦对脑卒中患者下肢运动控制能力的影响[J].中国康复,2025,40(7):387-392 |
| 改良八段锦对脑卒中患者下肢运动控制能力的影响 |
| Impact of modified Baduanjin exercise on lower limb motor control abilities in stroke patients |
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| DOI：10.3870/zgkf.2025.07.001 |
| 中文关键词: 八段锦 脑卒中 协同收缩率 平衡 下肢运动功能 |
| 英文关键词: Baduanjin stroke co-contraction ratio balance lower limb motor function |
| 基金项目:江苏省中医药科技发展计划项目（MS2021046） |
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| 中文摘要: |
| 目的：探讨改良八段锦对脑卒中患者下肢运动控制能力的影响。方法：将58例脑卒中患者随机分为干预组和对照组各29例，2组分别脱落2例，最终各27例。对照组进行常规康复治疗，干预组进行改良八段锦与常规康复治疗，均为1次/d，5d/周，干预6周。分别于干预前后评估2组患者的Fugl-Meyer评定量表下肢部分（FMA-LE)、 Berg平衡量表(BBS）评分，采用三维运动分析系统的骶骨定标法测定在睁闭眼站立时患者X、Y、Z 3个轴向的平均摆动幅度（MSA)，采用表面肌电评定患侧下肢肌群的积分肌电值（iEMG）并计算膝关节屈曲、伸展协同收缩率（CCR）。结果：干预6周后，2组患者FMA-LE、BBS评分、下肢肌群iEMG值升高（P<0.01），睁闭眼站立时X、Y轴向的MSA值及膝屈伸CCR值降低（P<0.01）；干预组FMA-LE、BBS评分、股直肌和股二头肌的iEMG值较对照组均升高（P<0.01，0.05) ，睁眼站立时Y轴向的MSA值及膝伸展CCR值较对照组降低（P<0.05) 。结论：6周的改良八段锦训练可显著改善脑卒中患者的下肢运动控制能力，体现在下肢综合运动功能、肌肉协调性及平衡能力的提升。 |
| 英文摘要: |
| Objective: To investigate the impact of modified Baduanjin on lower limb motor control abilities in stroke patients. Methods: A total of 58 stroke patients were randomly divided into an experimental group and a control group (29 cases in each group). The control group received conventional rehabilitation therapy, and the experimental group received modified Baduanjin combined with conventional rehabilitation therapy once a day, 5 days a week for 6 weeks. Both two patients in the experimental group and the control group withdrew from the study, resulting in a final sample size of 27 patients in the two groups.Assessments were conducted before and after the intervention using the lower limb portion of the Fugl-Meyer Assessment (FMA-LE), the Berg Balance Scale (BBS), and the three-dimensional motion analysis system with the sacral landmark method to measure the mean sway amplitude (MSA) during standing with eyes open and closed. Surface electromyography was utilized to evaluate the integrated electromyography (iEMG) value of the affected limb’s muscle groups and to calculate the co-contraction rate (CCR) of knee flexion and extension. Results: After 6 weeks of intervention, within-group comparisons showed that the FMA-LE, BBS, iEMG values of the lower limb muscle groups significantly increased in both groups (P<0.01). Additionally, the MSA values in the X and Y axis during standing with eyes open and closed and knee flexion-extension CCR values significantly decreased (P<0.01). Inter-group comparisons revealed that the FMA-LE, BBS, iEMG values of the rectus femoris and biceps femorisgroup, were significantly higher than those in the control group (P<0.01，0.05). Furthermore, the Y-axis MSA value during standing with eyes open in the experimental group , as well as the knee extension CCR value in the experimental was significantly lower than that in the control group (P<0.05). Conclusion: A 6-week modified Baduanjin training can significantly improve the lower limb motor control abilities of stroke patients, specifically reflected in the enhancement of overall lower limb functional movement, muscle coordination, and balance abilities. |
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