悬吊运动联合姿势控制训练对亚急性期脑卒中患者运动功能的影响

目的:观察悬吊系列运动联合姿势控制训练对脑卒中偏瘫患者运动功能的影响。方法:将100例脑卒中偏瘫患者随机分成观察组和对照组各50例,2组均接受常规康复训练,包括肌力训练、神经发育疗法、本体神经肌肉促进技术、平衡训练等,观察组在此基础上增加悬吊系列运动以及姿势控制训练。分别于治疗前和治疗后,采用Sheikh评定量表、Holden步行功能分级(FAC)、改良Barthel指数(MBI)、简式Fugl-Meyer运动功能评定量表(FMA)、Berg平衡量表(BBS)进行评估。结果:治疗6周后,2组Sheikh、MBI、BBS、FAC和FMA评分均较治疗前明显提高(均P0.05),且观察组高于对照组(均P0.05)。结论:以悬吊系列运动和姿势控制训练为基础的核心肌群控制训练可促进亚急性期脑卒中偏瘫患者的运动功能的恢复。

Effect of sling series exercise combined with posture control training on motor function in patients with subacute stroke

Objective: To observe the effect of sling series exercise combined with postural control training on motor function of stroke patients with hemiplegia. Method: One hundred eligible patients were randomly divided into observation group (n=50) and control group (n=50). Both groups received routine rehabilitation training, including muscle strength exercise, neurodevelopment treatment, proprioceptive neuromuscular facilitation, balance training, 40 min every day for 6 weeks. Additionally, the observation group was given sling series exercise and postural control training for 20 min every day, for 6 weeks. Functional ambulation category (FAC), modified Barthel index (MBI), Fugl-Meyer assessment (FMA) and Berg balance scale (BBS) and Sheikh rating scale for trunk control were applied for assessment before and after treatment. Result: After 6 weeks of treatment, the scores of FAC, MBI, FMA, BBS and Sheikh in both groups were significantly improved after treatment (P<0.05), and those in observation group were significantly higher than in control group (P<0.05). Conclusion: The sling series exercise- and postural control training-based control of core muscle training can promote the motor function of patients with subacute stroke with hemiplegia.