| 王玉龙,翟浩瀚,王玉珍,程薇萍,赵晓莉,王晓虹.选择性强化躯干肌的训练对脑卒中患者平衡功能的影响[J].中国康复医学杂志,2005,20(2):116~119 |
| 选择性强化躯干肌的训练对脑卒中患者平衡功能的影响 点此下载全文 |
| 王玉龙 翟浩瀚 王玉珍 程薇萍 赵晓莉 王晓虹 |
| [1]深圳市第二人民医院康复医学科518035 [2]安徽医科大学2002级康复医学专业研究生 |
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| 摘要： |
| 目的：探索不同的躯干肌训练方法对患者平衡功能的影响，以及应用躯干肌训练改善平衡功能的更加有效的方法。方法：第一阶段试验共有脑卒中患者37例．分常规组(18例)和躯干组(19例)，常规组采用我科常规平衡训练方法．躯干组则在常规平衡训练方法的基础上增加对躯干肌的训练，患者的其它康复治疗相同。第二阶段试验共有脑卒中患者51例，分为A组(26例)和B组(25例)，在采用第一阶段躯干组训练方案的基础上，A组患者增加坐位躯干的前屈抗阻运动和坐位躯干的后伸抗阻运动：B组患者增加仰卧位上部躯干旋转运动、坐位躯干前屈旋转抗阻运动和A组的两项运动。第一阶段试验，在治疗前和治疗10次后，第二阶段试验，在治疗前和治疗20次后，由专人用Berg平衡量表和Fugl-Meyer躯体能力评定量表中平衡项目量表对患者的平衡功能进行评定。结果：第一阶段试验常规组和躯干组治疗后平衡功能评分与治疗前相比有明显的改变，评分普遍增高，且躯干组高于常规组。同组患者治疗前后相比，常规组和躯干组BBS评分和MPP平衡评分差异均具有非常显著性意义。第二阶段试验，治疗后A、B组患者平衡功能评分均有明显提高，B组评分绝对增加幅度高于A组。同组患者治疗前后相比，A组和B组平衡评分差异均具有非常显著性意义。结论：依据脑卒中患者躯干肌力低下的特点，选择性地强化对部分躯干肌的训练，即在加强前屈和后伸肌群训练的同时，增加躯干旋转肌群的训练，可以更加有效地提高对脑卒中患者平衡功能障碍的训练效果。 |
| 关键词：脑卒中 平衡功能 躯干肌 训练 |
| The selected training of trunk muscle in relation to balance disability in stroke patients Download Fulltext |
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| Objective:To investigate the effect of different trunk muscle training for balance disability in stroke patients and to search out a better method.Method:In the first stage,this study evaluated the effect of trunk muscle training for balance disability in 37 stroke patients, who were divided into routine group(n=18) and trunk group(n=19). In the second stage, different trunk muscle training methods were used in A group(n=26) and B group(n=25) of stroke patients, the better method was certified.The Berg balance scale and Fugl-Meyer measurement of physical performance were used to assess balance and stability.The data was analyzed by related statistical methods.Result: The value of the training method was lower in the routine group than in the trunk group.There was significant difference between A group and B group. The Berg balance scale and Fugl-Meyer measurement of physical performance were higher in B group than in A group.Conclusion:The findings indicate that the training method of trunk flexors and trunk extensors combined trunk rotators is more effective in stroke patients. |
| Keywords:stroke,balance,trunk muscle,training |
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