| 周人龙,王强,李响,朱保亮.情景互动结合器械辅助核心肌群训练对改善偏瘫患者步行功能的疗效观察[J].中国康复,2020,35(5):236-239 |
| 情景互动结合器械辅助核心肌群训练对改善偏瘫患者步行功能的疗效观察 |
| Effect of core muscles training combined with situational interaction on the improvement of walking function in hemiplegic patients |
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| DOI： |
| 中文关键词: 脑卒中 偏瘫 步行功能 核心肌群训练 情景互动 |
| 英文关键词: stroke hemiplegia walking function core muscles training situational interaction |
| 基金项目:济宁医学院附属医院“苗圃”科研课题（MP-MS-2019-005） |
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| 中文摘要: |
| 目的：观察情景互动结合器械辅助核心肌群训练对改善偏瘫患者步行功能的疗效。方法：将45例存在步行功能障碍的脑卒中后偏瘫患者随机分成对照组(A组)、器械辅助核心训练组(B组)和情景互动结合器械辅助核心训练组(C组)各15例。所有患者均给予常规神经内科药物治疗，A组接受常规的运动疗法（包含常规核心肌群训练），B组接受常规运动疗法和器械辅助核心肌群训练，C组接受常规运动疗法和情景互动结合器械辅助核心肌群训练，3组均每日训练45min，每周治疗6d，共4周。治疗前后采用下肢Fugl-Meyer运动功能量表(Fugl Meyer assessment，FMA)、10米最大步行速度测试和Holden步行功能测试对患者的步行功能进行评估。结果：治疗前，3组患者下肢FMA、10MWT和Holden步行功能分级相比差异无统计学意义。治疗4周后，3组患者下肢FMA、10MWT和Holden步行功能分级均较治疗前明显提高(P<0.05)；B、C组的下肢FMA、10MWT和Holden步行功能分级提高均优于A组(P<0.05)；C组各项评分提高程度更优于B组(P<0.05)。结论：对于脑卒中后偏瘫患者，在常规运动疗法的基础上，情景互动结合器械辅助核心训练比起单纯器械辅助核心肌群训练能更加有效地改善患者步行功能，值得临床推广应用。 |
| 英文摘要: |
| Objective: To explore the curative effect of instrument supporting core muscles training combined with situational interaction for the recovery of walking function of hemiplegic patients. Methods: Forty-five stroke patients with hemiplegia were selected and randomly divided into control group (group A), instrument supporting core muscles training group (group B) and instrument supporting core muscles training combined with situational interaction group (group C). All patients were given routine drug therapy. Patients in group A were subjected to routine physical therapy (including part of core muscles training), those in the group B were given instrument supporting core muscles training based on the routine physical therapy, and those in group C accepted instrument supporting core muscles training combined with situational interaction based on the routine physical therapy, 45 min/day, 6 sessions per week for 4 weeks. The walking function of patients before and 4 weeks after the treatment were evaluated by lower limbs Fugl-Meyer assessment (FMA), 10-meter maximum walking test (10 MWT) and functional ambulation category scale (FAC). Results: Before treatment, there was no significant difference in the lower limbs FMA, 10 MWT and FAC scores among three groups. After treatment for 4 week, the lower limbs FMA, 10 MWT and FAC scores were significantly increased in three groups as compared with those before treatment, those in groups B and C were significantly higher than in group A (P<0.05), and those in group C were significantly higher than those in group B (P<0.05). Conclusion: The clinical efficacy of instrument supporting core muscles training combined with situational interaction based on the routine physical therapy mode could more effectively improve the walking function than the instrument supporting core muscles training based on the routine physical therapy or the routine physical therapy alone in post-stroke hemiplegic patients, which is worthy of clinical application. |
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