《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (11): 1008-1010.

• 论文 • 上一篇    下一篇

核心稳定性训练对脑卒中后上肢运动功能恢复的影响

张建社1，常冬梅2,3，王俊卿1，孙玉娇1，朱银星1，汤永全1，吴群强1   

  1. 1.第四军医大学唐都医院康复医学科，陕西西安市710038；2.首都医科大学康复医学院，北京市100068；3.中国康复研究中心北京博爱医院运动疗法科，北京市100068。
  • 收稿日期:2012-05-02 修回日期:2012-05-12 出版日期:2012-11-25 发布日期:2012-11-25
  • 通讯作者: 王俊卿

Effect of Core Stability Training on Motor of Upper Limbs after Stroke

ZHANG Jian-she, CHANG Dong-mei, WANG Jun-qing, et al.   

  1. Department of Rehabilitation and Physiotherapy, Tangdu Hospital, the Fourth Military Medical University, Xi'an 710038, Shaanxi, China
  • Received:2012-05-02 Revised:2012-05-12 Published:2012-11-25 Online:2012-11-25

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摘要： 目的探讨核心稳定性训练(CST)对脑卒中后上肢运动功能恢复的影响。方法60 例脑卒中患者分为对照组和观察组各30 例，两组患者均行常规神经内科药物治疗和运动再学习疗法，观察组训练前行CST。治疗前后采用简易上肢功能检查(STEF)、改良Barthel 指数(MBI)、躯干控制测试(TCT)进行评定。结果治疗后，两组患者STEF、MBI、TCT 均较治疗前明显改善(P<0.01)，观察组明显优于对照组(P<0.01)。结论CST 可进一步提高脑卒中后上肢运动功能。

关键词: 脑卒中, 核心稳定性训练, 运动再学习, 上肢, 运动

Abstract: Objective To explore the effect of core stability training (CST) on motor of upper limbs after stroke. Methods 60 patients with stroke were divided into observation group (n=30) and control group (n=30). Both groups accepted routine medicine and motor relearning program, and the observation group accepted CST before training. They were assessed with Simple Test for Evaluating Hand Function (STEF), modified Barthel index (MBI), and the Trunk Control Test (TCT) before and 4 weeks after treatment. Results The scores of STEF,MBI, and TCT improved after treatment in both groups (P<0.01), and improved more in the observation group than in the control group (P<0.01). Conclusion CST may facilitate the motor recovery of upper limbs after stroke.

Key words: stroke, core stability training, motor relearning programme, upper limbs, motor