| 赵春香,王瑞刚,张岩,等.核心稳定性训练治疗缺血性脑卒中偏瘫 88例疗效观察[J].安徽医药,2020,24(1):17-20. |
| 核心稳定性训练治疗缺血性脑卒中偏瘫 88例疗效观察 |
| Effect observation of core stability training in patients with cerebral infarction hemiplegia |
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| DOI：10.3969/j.issn.1009?6469.2020.01.005 |
| 中文关键词: 卒中 姿势平衡 运动疗法 日常生活活动 经皮神经电刺激 电针 核心稳定性训练 偏瘫 |
| 英文关键词: Stroke Postural balance Exercise therapy Activities of daily living Transcutaneous electric nerve stimula? tion Electroacupuncture Core stability training Hemiplegian |
| 基金项目:河北省卫计委医学科学研究课题(20150520) |
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| 中文摘要: |
| 目的探讨核心稳定性训练对缺血性脑卒中偏瘫病人的治疗效果。方法选择 2015年 10月至 2017年 10月华北理工大学附属医院收治的缺血性脑卒中偏瘫 176例，将其以随机数字表法分为两组，对照组 88例，实施常规康复治疗，观察组 88例在常规治疗基础上联用核心稳定性训练，于训练前后行平衡功能和活动功能评定。结果通过相应的康复训练程序之后，测定两个组别的评分数据，得出多个指标的评分有所增加( P＜0.05)。训练之后的运用稳定指数( SI)评分有一定的下降( P＜ 0.05)。观察组训练后运动功能评分( FMA)(27.5±1.2)分、平衡量表评分( BBS)评分( 35.4±2.5)分、功能性步行量表( FAC)分级(3.9±0.5)分、粗大运动功能测量表( GMFM?66)评分( 74.3±3.2)分、躯干损害量表( TIS)(19.8±1.1)分、日常生活活动能力评分(ADL)(73.5±4.3)分、 10 m最大步行速度( 10 m MWS)(41.6±1.9)m/min、生活质量( QOL)评分( 77.2±4.3)分依次高于对照组(23.2±1.9)分、(26.7±2.1)、(3.2±0.4)分、(61.2±2.8)分、(17.1±0.5)分、(60.1±2.9)分、(32.5±2.8)m/min、(65.3±3.7)分( P＜0.05)。观察组训练后 SI评分( 1.7±0.1)分低于对照组( 2.3±0.2)分( P＜0.05)。结论核心稳定性训练可改善缺血性脑卒中偏瘫病人的平衡功能和活动功能。 |
| 英文摘要: |
| Objective To investigate effect of core stability training in patients with cerebral infarction hemiplegia.Methods 176 patients with cerebral infarction hemiplegia were selected in North China University of Science and Technology Affiliated Hospitalfrom October 2015 to October 2017，who were divided into two groups by random number table method.88 patients received routinerehabilitation treatment were as control group.88 patients combined with core stability training were as observation group.Balancefunction and activity function were assessed before and after training.Results FMA score，BBS score，FAC score，GMFM?66 score， TIS score，ADL score，10 m MWS，QOL score were increased in two groups after training(P＜0.05).SI score was decreased in two groups after training(P＜0.05).FMA score(27.5±1.2)points，BBS score(35.4±2.5)points，FAC score(3.9±0.5)points，GMFM?66 score(74.3±3.2)points，TIS score(19.8±1.1)points，ADL score(73.5±4.3)points，10 m MWS(41.6±1.9)m/min，QOL score(77.2±4.3)points in observation group were higher than control group(23.2±1.9)points，(26.7±2.1)points，(3.2±0.4)points，(61.2±2.8) points，(17.1±0.5)points，(60.1±2.9)points，(32.5±2.8)m/min，(65.3±3.7)points after training(P＜0.05).SI score(1.7±0.1)pointsin observation group was lower than control group(2.3±0.2)points after training(P＜0.05).Conclusion Core stability training can improve balance function and activity function in patients with cerebral infarction hemiplegia. |
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