下肢生物反馈训练对脑卒中患者运动及平衡功能的影响

发布时间：2018-06-22 18:04

  本文选题：脑卒中 + 本体感觉训练　； 参考：《中国康复医学杂志》2017年07期

【摘要】：目的:观察下肢生物反馈训练对脑卒中患者运动及平衡功能的影响。方法:选取脑卒中患者40例,按随机数字表法随机分为对照组(20例)和治疗组(20例)。对照组接受常规物理治疗;治疗组在常规物理治疗基础上接受下肢反馈训练。两组患者均接受8周治疗。比较两组患者治疗前后的下肢运动功能评分(Fugl-Meyer评价量表,FMA-L)、平衡功能评分(Berg平衡量表,BBS)、日常生活活动能力(改良Barthel指数,BI)以及下肢肌力(徒手肌力评估,MMT)的变化。结果:两组患者治疗前各项指标差异均无显著性意义(P0.05),经过8周康复训练后,治疗组FMA-L、MMT、BBS、BI分别由治疗前(20.75 5.37)、(8.70 2.43)、(14.70 6.89)、(16.60 4.10)提高至(31.05 3.32)、(41.20 5.33)、(15.65 1.84)、(32.00 6.39);对照组上述指标分别由治疗前(20.80 4.92)、(15.05 6.75)、(9.60 2.74)、(15.603.46)提高至(28.10 4.28)、(35.30 9.52)、(14.05 2.42)、(28.05 5.33);两组治疗前后的各项功能指标变化差异均有显著性意义(P0.05)。组间比较,治疗组各项指标明显优于对照组(P0.05)。结论:通过下肢生物反馈训练提高患者下肢本体感觉有助于脑卒中偏瘫患者运动及平衡功能的恢复,从而明显提高患者日常生活活动能力,值得临床应用及推广。
[Abstract]:Objective: to observe the effect of lower limb biofeedback training on motor and balance function in stroke patients. Methods: 40 stroke patients were randomly divided into control group (n = 20) and treatment group (n = 20). The control group received routine physical therapy and the treatment group received lower limb feedback training on the basis of routine physical therapy. Both groups were treated for 8 weeks. The changes of lower extremity motor function scale (Fugl-Meyer evaluation scale), balance function scale (Berg balance scale), activity of daily living (modified Barthel index BI) and lower limb muscle strength (unarmed muscle strength assessment) were compared between the two groups before and after treatment. Results: there was no significant difference between the two groups before treatment (P0.05), after 8 weeks of rehabilitation training, 娌荤枟缁凢MA-L,MMT,BBS,BI鍒嗗埆鐢辨不鐤楀墠(20.75 5.37),(8.70 2.43),(14.70 6.89),(16.60 4.10)鎻愰珮鑷，

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