进行性呼吸肌训练对脑卒中偏瘫患者功能康复的研究

目的:观察进行性呼吸肌训练对脑卒中偏瘫患者肺功能及运动功能的影响.方法:将50例脑卒中偏瘫患者随机分为对照组和观察组,每组各25例.对照组给予常规康复训练,观察组在此基础上给予进行性呼吸肌训练.分别于治疗前、治疗6周后对2组患者的肺功能、躯干控制功能、平衡功能及运动功能进行评估.结果:治疗6周后,2组患者的用力肺活量(...

Functional rehabilitation of stroke patients with hemiplegia by progressive respiratory muscle training

Objective: To observe the effect of progressive respiratory muscle training on pulmonary function and motor function of stroke patients with hemiplegia. Methods: A total of 50 stroke patients with hemiplegia were randomly divided into control group (n=25) and observation group (n=25). The control group and observation group were given routine rehabilitation training, and the observation group was given progressive respiratory muscle training additionally. The pulmonary function, trunk control function, balance function and motor function of the two groups were evaluated before and 6 weeks after treatment. Results: There was no significant difference in forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1), peak expiratory flow rate (PEF), Sheikh trunk control scale (TCT), Berg balance scale (BBS) and Fugl-Meyer motor function scale (FMA) between the two groups before treatment. After 6 weeks of treatment, the pulmonary function indexes (FVC, FEV1 and PEF), TCT, BBS and FMA scores in the two groups were significantly higher than those before treatment (all P<0.05), and the scores in the observation group were higher than those in the control group (all P<0.05). The results of correlation analysis showed that pulmonary function was positively correlated with TCT, BBS and FMA scores (P<0.05). Conclusion: Progressive respiratory muscle training combined with routine rehabilitation can effectively improve the pulmonary function, trunk control function, balance function and motor function of stroke patients with hemiplegia. Therefore, more attention should be paid to respiratory function training in clinical work to improve patients'' pulmonary function and activities of daily living.