| 车 培,包莹莹,计樱莹,陈 兰,吴 明,陈 煜,黄桂兰,唐 欢,杨金宇,王 彤.改良五禽戏对卒中患者平衡功能影响的精准评定与分析[J].中国康复医学杂志,2024,(6):828~834 |
| 改良五禽戏对卒中患者平衡功能影响的精准评定与分析 点此下载全文 |
| 车 培 包莹莹 计樱莹 陈 兰 吴 明 陈 煜 黄桂兰 唐 欢 杨金宇 王 彤 |
| 南京医科大学，江苏省南京市，210029 |
| 基金项目：江苏省中医药科技发展计划项目（MS2021046）；无锡市太湖人才计划（WXTTP2020008，WXTTP2021） |
| DOI：10.3969/j.issn.1001-1242.2024.06.010 |
| 摘要点击次数: 464 |
| 全文下载次数: 267 |
| 摘要： |
| 摘要
目的：观察改良五禽戏对脑卒中患者平衡的影响，探索骶骨定标法、Pro-Kin平衡仪、Berg平衡量表（Berg balance scale， BBS）三种平衡评估方法的相关性。
方法：将56例脑卒中患者随机分为对照组和试验组，每组28例。对照组进行常规康复治疗，试验组进行改良五禽戏与常规康复治疗，治疗4周。在治疗前后采用Berg平衡量表、三维运动分析系统的骶骨定标法、Pro-Kin平衡仪进行平衡评估，采用躯干损伤量表（trunk impairment scale， TIS）进行躯干评估。
结果：①治疗前后比较，两组BBS评分、双脚及单脚站立时骶骨定标点的重心平均摆动路径、坐位下压力中心运动轨迹长度与运动椭圆面积、稳定极限、TIS评分均显著性改善（P<0.05）。②两组治疗后组间比较，试验组BBS评分、双脚及单脚站立时骶骨定标点的重心平均摆动路径、坐位下压力中心运动轨迹长度与运动椭圆面积、TIS评分较对照组有显著性改善（P<0.05）。两组治疗前后差值比较，BBS差值、双脚及单脚站立时骶骨定标点的重心平均摆动路径差值、坐位下压力中心运动椭圆面积差值、稳定极限差值较对照组有显著性改善（P<0.05）。③治疗前骶骨定标点的重心平均摆动路径、压力中心的运动轨迹长度、运动椭圆面积与BBS总分呈负相关性（r=﹣0.324―﹣0.562， P<0.05）。骶骨定标点的重心平均摆动路径与压力中心的运动轨迹长度、运动椭圆面积呈正相关性（r=0.547―0.809， P<0.01）。
结论：改良五禽戏可以有效改善脑卒中患者的躯干控制能力及姿势稳定性，提高平衡能力。骶骨定标法、Pro-Kin平衡仪、BBS之间具有相关性，均能客观反映脑卒中患者的平衡功能。骶骨定标法可以更加客观地检测脑卒中患者不同状态下的平衡。 |
| 关键词：脑卒中 改良五禽戏 平衡功能 |
| Precise assessment and analysis of the effects of the modified Wuqinxi on balance function in stroke patients Download Fulltext |
|
| Nanjing Medical University， Nanjing， 210029 |
| Fund Project: |
| Abstract: |
| Abstract
Objective： To observe the effects of the modified Wuqinxi on balance function in stroke patients， and to explore the correlations among three balance assessment methods which are the sacral marker method， the Pro-Kin system， and the Berg balance scale（BBS）.
Method： Fifty-six patients with stroke were randomly divided into a control group and an experimental group， with 28 patients in each. The control group received conventional physiotherapy, while the experimental group received both conventional physiotherapy and the modified Wuqinxi for four weeks. Balance was assessed using the BBS, three-dimensional motion analysis system via sacral marker method, and the Pro-Kin balance device before and after treatment. Trunk control was evaluated using the Trunk Impairment Scale （TIS）.
Result： ①Pre- and post-intervention comparisons showed significant improvements in BBS scores， the sway path of the sacral markers, which is the center of gravity during standing on two feet and one foot， the movement track length of the pressure center，and the area of motion ellipse in the seated position， the stability limit， and the TIS scores were significantly improved in both groups（P<0.05）. ②Inter-group comparisons post-treatment revealed that the experimental group showed significant improvements in BBS scores， the sway path of the center of gravity standing on two feet and one foot， the movement track length of pressure center， and the area of motion ellipse in the seated position， and the TIS scores compared to the control group（P<0.05）. Compared with the control group，the difference of BBS，the difference of the sway path of the center of gravity standing on two feet and one foot， the difference of the area of motion ellipse in the seated position， and the difference of the stability limit were significantly improved in the two groups at post-intervention（P<0.05）. ③Before the intervention， the sway path of the center of gravity， the movement track length of the pressure center， and the area of motion ellipse were negatively correlated with the BBS scores（r=﹣0.324―﹣0.562，P<0.05）. The sway path of the center of gravity was positively correlated with the movement track length of pressure center and the area of motion ellipse（r=0.547―0.809，P<0.01）.
Conclusion： Trunk control， postural stability， and balance function can be improved effectively by the modified Wuqinxi in stroke patients. There are certain correlations among the sacral marker method， the Pro-Kin system， and the BBS in terms of balance function assessment, all of which can objectively reflect the balance function of stroke patients. The sacral marker method based on three-dimensional motion analysis can detect the balance of stroke patients in different states more objectively therefore is worthy to be recommended and applicated clinically. |
| Keywords:stroke the modified Wuqinxi balance function |
|
| 查看全文 查看/发表评论 |
