《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (4): 368-370.

• 临床研究 • 上一篇    下一篇

脑卒中患者坐位站起速度与动静态平衡的相关性研究

苏国栋   

  1. 1.中国康复研究中心北京博爱医院神经康复理学疗法科，北京市 100068；2.首都医科大学康复医学院，北京市 100068
  • 收稿日期:2012-09-10 修回日期:2012-11-14 出版日期:2013-04-25 发布日期:2013-04-25

Relationship between Sit-to-Stand Velocity and Dynamic or Static Balance in Stroke Patients

SU Guo-dong   

  1. Department of Neurological Rehabilitation Physical Therapy, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2012-09-10 Revised:2012-11-14 Published:2013-04-25 Online:2013-04-25

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摘要： 目的探讨脑卒中患者坐位站起速度与静态平衡和动态平衡的相关性。方法测量22 例脑卒中患者五次坐位站起(FTSTS)的时间，用平衡仪测量静态平衡能力及重心左右移动的能力，并测量坐位时功能性前伸的距离。分别计算五次坐位站起(FTSTS)用时与各测量指标的相关性，并做回归分析。结果FTSTS 用时分别与偏瘫侧、外周面积、坐位时功能性前伸相关(P<0.05)。多元回归分析显示，影响坐位站起速度的主要因素是坐位时功能性前伸距离和静态时重心摆动的外周面积。右侧偏瘫患者比左侧偏瘫患者坐位站起速度快(P<0.05)。结论静态时重心摆动的外周面积和坐位下功能性前伸距离是影响坐位站起速度的主要因素，右侧偏瘫患者的坐位站起速度明显快于左侧偏瘫患者。

关键词: 脑卒中, 五次坐位站起, 静态平衡, 动态平衡

Abstract: Objective To investigate the relationship between sit-to-stand velocity and dynamic or static balance respectively in stroke patients. Methods 22 stroke patients were measured with Five Times Sit to Stand (FTSTS). Static balance performance as well as swaying of center of gravity in lateral directions was recorded with balancing apparatus. The distance of Functional Reach Test (FRT) was also recorded. The relationship between FTSTS scores and hemiparetic side, ENV.Area, and the distance of FRT were analyzed. Results The score of FTSTS positively related with hemiparetic side, ENV.Area, and the distance of FRT (P<0.05). The main factors associated with the sit to stand velocity are the distance of FRT and ENV.Area. Right-side hemiplegic patients stood faster than left-side hemiplegic patients (P<0.05). Conclusion ENV.Area and distance of FRT are the main factors associated with sit to stand velocity. Right-side hemiplegia stand significantly faster than left-side hemiplegia.

Key words: stroke, Five Times Sit to Stand, static balance, dynamic balance