《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (12): 1109-1112.

• 专题 • 上一篇    下一篇

本体感觉训练结合核心稳定性训练对脑卒中偏瘫患者下肢功能及平衡的影响

张勃，丁玎，吕立
   

  1. 首都医科大学附属北京友谊医院康复科，北京市100050。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-25 发布日期:2014-12-25

Effect of Proprioceptive Training and Core Stability Training on Lower Limbs Motor Function and Balance in Patients with Hemiplegia after Stroke

ZHANG Bo, DING Ding, LÜ Li.
  

  1. Department of Rehabilitation Medicine, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-25 Online:2014-12-25

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摘要： 目的探讨本体感觉训练与核心稳定性训练相结合对脑卒中偏瘫患者下肢功能及平衡的影响。方法40 例脑卒中偏瘫患者随机分为治疗组(n=20)和对照组(n=20)。对照组进行常规康复训练，治疗组在此基础上增加本体感觉训练和核心稳定性训练，共6 周。治疗前后采用简式Fugly-Meyer 评定(FMA)下肢运动功能部分、Holden 功能步行分级(FAC)、Berg 平衡量表(BBS)、计时起立-行走测试(TUGT)进行评定。结果治疗后，两组患者FMA、FAC、BBS、TUGT评分均较治疗前明显改善(P<0.01)，且治疗组均优于对照组(P<0.05)。结论增加本体感觉训练与核心稳定性训练可进一步提高脑卒中偏瘫患者的下肢运动功能及平衡功能。

关键词: 脑卒中, 偏瘫, 本体感觉训练, 核心稳定性训练, 下肢, 运动功能, 平衡

Abstract: Objective To investigate the effects of proprioceptive training and core stability training on the lower limbs motor function and balance in patients with hemiplegia after stoke. Methods 40 patients were randomly divided into treatment group (n=20) and control group (n=20). Both groups received routine rehabilitation and the treatment group received proprioceptive training and core stability training in addition. They were assessed with Fugl-Meyer Assessment (FMA) of lower limbs, Functional Ambulation Category (FAC), Berg Balance Scale (BBS), Timed Up-and-Go Test (TUGT) before and 6 weeks after treatment. Results The scores of FMA, FAC, BBS and TUGT improved in both groups after treatment (P<0.01), and improved more in the treatment group than in the control group (P<0.05). Conclusion Addition of proprioceptive training and core stability training may further improve the lower limbs motor function and balance of the hemiplegics after stroke.

Key words: stroke, hemiplegia, proprioceptive training, core stability training, lower limbs, motor function, balance