治疗性体位摆放对脑卒中偏瘫患者姿势控制和平衡能力的影响

doi:10.3969/j.issn.1006-9771.2023.11.014

Abstract

Abstract:

Objective To explore the effect of therapeutic postural placement on postural control and balance in stroke patients with hemiplegia.

Methods From January, 2020 to June, 2022, 60 stroke patients in Cangzhou Hospital of Integrated TCM-WM•Hebei were randomly divided into control group (n = 30) and observation group (n = 30). Both groups accepted routine rehabilitation, while the observation group accepted therapeutic postural placement based on the concept of Bobath additionally. Fugl-Meyer Assessment-Lower Extremity (FMA-LE), Berg Balance Scale (BBS), Postural Assessment Scale for Stroke Patient (PASS) and Pro-kin balance instrument were used to evaluate the postural control and balance function before and four weeks after treatment, while the area of ellipse and length of motion with eyes open and closed were recorded, respectively.

Results After treatment, the scores of FMA-LE, PASS and BBS significantly increased (|t| > 3.856, P < 0.001), and the area of ellipse and length of motion with eyes open and closed decreased in both groups (|t| > 4.083, P< 0.001); all the indexes were better in the observation group than in the control group (|t| > 2.261, P< 0.05).

Conclusion The therapeutic postural placement could effectively improve the postural control ability and balance function in stroke patients.

Key words: stroke, therapeutic postural placement, posture control, balance function

CLC Number:

R743.3

WANG Xiaojun, WANG Lichun, SHI Meichao, LIU Jun, YING Xiaoce, BAI Dehao. Effect of therapeutic postural placement on postural control and balance in stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(11): 1353-1358.

Figures/Tables 9

References 37

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组别	n	性别/n		年龄/岁	病程/周	卒中类型/n		病变侧/n
组别	n	男	女	年龄/岁	病程/周	脑梗死	脑出血	左侧	右侧
对照组	30	25	5	50.73±11.44	10.20±1.61	14	16	15	15
观察组	30	24	6	52.13±12.58	9.87±2.08	20	10	15	15
χ²/t值		0.111		-0.451	-0.887	2.443		1.071
P值		0.738		0.654	0.375	0.118		0.301

组别	n	治疗前	治疗后	t值	P值
对照组	30	12.83±6.26	22.50±6.30	-4.801	< 0.001
观察组	30	13.33±6.34	25.80±5.70	-26.168	< 0.001
t值		-0.371	-2.127
P值		0.711	0.033

组别	n	治疗前	治疗后	t值	P值
对照组	30	29.37±3.92	31.03±3.60	-3.856	< 0.001
观察组	30	29.23±4.10	33.57±4.07	-4.807	< 0.001
t值		-0.231	-2.976
P值		0.817	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	30	35.13±9.47	42.43±8.67	-7.892	< 0.001
观察组	30	36.50±8.14	46.27±5.56	-4.790	< 0.001
t值		-0.600	-2.039
P值		0.551	0.046

组别	n	治疗前	治疗后	t值	P值
对照组	30	4060.20±461.46	3924.20±472.54	12.870	< 0.001
观察组	30	4046.27±388.33	3669.83±393.06	-4.782	< 0.001
t值		0.127	2.267
P值		0.900	0.027

Effect of therapeutic postural placement on postural control and balance in stroke patients with hemiplegia

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组别	n	治疗前	治疗后	t值	P值
对照组	30	2507.57±318.39	2243.60±241.24	-4.083	< 0.001
观察组	30	2397.00±346.37	2055.33±318.99	-4.700	< 0.001
t值		1.287	2.583
P值		0.203	0.012

组别	n	治疗前	治疗后	t值	P值
对照组	30	6033.03±408.34	5794.73±382.07	12.947	< 0.001
观察组	30	6001.47±476.96	5548.63±457.59	-4.762	< 0.001
t值		0.275	2.261
P值		0.784	0.028

组别	n	治疗前	治疗后	t值	P值
对照组	30	2871.60±325.57	2708.30±353.64	-4.742	< 0.001
观察组	30	2786.57±264.53	2417.50±359.52	8.608	< 0.001
t值		1.110	3.158
P值		0.271	0.003

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