悬吊运动疗法治疗脑梗死患者步态异常的临床观察

发布时间：2018-03-27 13:33

本文选题：脑卒中　切入点：悬吊运动疗法　出处：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:探讨悬吊运动疗法对脑梗死患者步态异常的临床疗效。方法:将60例脑梗死患者随机分为治疗组和对照组,对照组采用常规运动疗法训练,治疗组采用悬吊运动疗法。于治疗前、治疗8周后,用Berg平衡量表(BBS)、Pro-kin平衡仪、Fugl-Meyer运动功能评分下肢部分(FMA-L)、威斯康辛步态分析量表(WGS)分别评定其平衡功能、运动功能以及步态进行评定。结果:1.平衡功能:两组患者治疗前BBS评分、Pro-kin外周面积无显著性差异(p0.05);治疗8周后,两组患者的BBS评分、Pro-kin外周面积均有所改善(p0.05);治疗组较对照组改善更明显,具有统计学意义(p0.01)。2.下肢运动功能:两组患者治疗前FMA-L评分无显著性差异(P0.05);治疗8周后,两组患者FMA-L评分均有所改善(p0.05);治疗组改较对照组改善更明显,具有统计学意义(p0.01)。3.步态:两组患者治疗前WGS评分无显著性差异(p0.05);治疗8周后,两组患者WGS评分均有所改善(p0.05);治疗组较对照组改善更明显,具有统计学意义(p0.01)。结论:1.悬吊运动疗法可改善脑梗死患者的平衡功能,效果优于常规运动疗法。2.悬吊运动疗法可改善脑梗死患者的下肢运动功能,效果优于常规运动疗法。3.悬吊运动疗法可改善脑梗死患者的步态异常,效果优于常规运动疗法。
[Abstract]:Objective: to investigate the clinical effect of suspension exercise therapy on gait abnormalities in patients with cerebral infarction. Methods: 60 patients with cerebral infarction were randomly divided into treatment group and control group. The treatment group was treated with suspension exercise therapy. Before and after 8 weeks of treatment, Berg balance scale and Fugl-Meyer motor function scale were used to evaluate the balance function of the patients. Results: 1. Balance function: there was no significant difference in the BBS score of Pro-kin peripheral area between the two groups before treatment, and after 8 weeks of treatment, there was no significant difference in the peripheral area of Pro-kin. The BBS score and the peripheral area of Pro-kin were improved in both groups, and the improvement was more obvious in the treatment group than in the control group (P < 0.05). The motor function of lower extremities in the treatment group was significantly higher than that in the control group (P < 0.01). There was no significant difference in the FMA-L score between the two groups before and after treatment (P 0.05), and after 8 weeks of treatment, there was no significant difference between the two groups in FMA-L score. The FMA-L score of the two groups was improved significantly than that of the control group, and the improvement of the treatment group was more obvious than that of the control group (P < 0.01). Gait: there was no significant difference in the WGS score between the two groups before and after treatment (p 0.05), and after 8 weeks of treatment, there was no significant difference in the WGS score between the two groups (P 0.05). The WGS scores of the two groups were improved significantly than those of the control group (P < 0.01). Conclusion: 1. Suspension exercise therapy can improve the balance function of patients with cerebral infarction. The effect of suspension exercise therapy is better than that of routine exercise therapy. 2. Suspension exercise therapy can improve the lower limb motor function of patients with cerebral infarction, and the effect is better than that of routine exercise therapy. 3. Suspension exercise therapy can improve the gait abnormality of patients with cerebral infarction, and the effect is better than that of routine exercise therapy.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.33

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