躯干控制训练对提高脑卒中患者平衡和日常生活活动能力的研究

发布时间：2018-07-25 12:51

【摘要】：目的:由于脑卒中所致偏瘫的损伤严重程度多表现为,远端重于近端,四肢重于躯干,脑卒中偏瘫患者躯干的影响未受到康复治疗师足够的重视,但从整体上看躯干是人体活动的中心,躯干控制是较复杂肢体活动的稳定基础,这些复杂的肢体活动反过来又成为复杂行为技巧的先决条件。因此本研究旨在早期将躯干控制训练的方法应用于脑卒中偏瘫患者中,观察躯干控制训练对脑卒中偏瘫患者的平衡和日常生活活动能力(Activity of Daily Living,ADL)的影响,观察躯干控制训练的特点,为偏瘫患者的康复找到依据。方法:选择100例脑卒中偏瘫患者随机分为对照组和试验组,对照组给予常规康复训练,试验组在常规康复训练基础上给予躯干控制训练,两组均进行1次/日,4周为一个疗程的治疗。两组脑卒中偏瘫患者在治疗前、治疗后分别进行躯干损伤能力评分(TIS),躯干控制能力测试(TCT),Berg平衡量表(BBS),Fugl-Meyel运动功能评分(FMA),改良Barthel指数(BI)评估,对比两组间的治疗效果。结果:1.对照组和试验组在治疗前躯干损伤能力评分(TIS),躯干控制能力测试(TCT),Berg平衡量表(BBS),Fugl-Meyel运动功能评分(FMA)及改良Barthel指数(BI)组间无显著性差异,无统计学意义(p0.05)。2.对照组和试验组治疗前后躯干损伤能力评分(TIS),躯干控制能力测试(TCT),Fugl-Meyel运动功能评分(FMA),Berg平衡量表(BBS)及改良Barthel指数(BI)组内均有明显改善,有统计学意义(p0.05)。3.治疗后试验组比对照组躯干损伤能力评分(TIS),躯干控制能力测试(TCT),Berg平衡量表(BBS),Fugl-Meyel运动功能评分(FMA)及改良Barthel指数(BI)差异更显著,组间有统计学意义(p0.05)。结论:1.常规康复训练结合躯干控制训练与单纯的常规康复训练均可提高脑卒中偏瘫患者的平衡和日常生活能力。2.常规康复训练结合躯干控制训练比单纯常规康复训练的临床疗效更佳。3.躯干控制训练对患者的平衡能力、运动功能、躯干控制能力及日常生活能力等方面有更显著的疗效。
[Abstract]:Objective: because the severity of hemiplegia caused by stroke is more severe than that of proximal end, limb is more serious than trunk, the influence of torso of stroke hemiplegia is not paid enough attention by rehabilitation therapists. As a whole, the trunk is the center of human body activity, and the trunk control is the stable foundation of the more complex physical activity, which in turn becomes the precondition of complex behavior skills. The purpose of this study was to apply the trunk control training to stroke hemiplegic patients early, and to observe the effects of trunk control training on the balance and activities of daily living (ADL) of stroke hemiplegic patients. The characteristics of trunk control training were observed to find the basis for rehabilitation of hemiplegic patients. Methods: 100 stroke hemiplegic patients were randomly divided into control group and experimental group. The control group was given routine rehabilitation training and the experimental group was given trunk control training on the basis of routine rehabilitation training. Both groups were treated once a day for 4 weeks as a course of treatment. Before and after treatment, two groups of patients with stroke hemiplegia were assessed with trunk injury ability scale (TIS), trunk control ability test (BBS) (BBS) Fugl-Meyel motor function scale (FMA), modified Barthel index (BI), and compared the therapeutic effect between the two groups. The result is 1: 1. There was no significant difference between the control group and the experimental group in the scores of trunk injury ability before treatment, (TIS), trunk control ability test, (TCT) Berg balance scale (BBS), Fugl-Meyel motor function score (FMA) and modified Barthel index (BI), but there was no significant difference between the two groups (p0.05) .2. Scores of trunk injury ability before and after treatment in the control group and the experimental group, the (TIS), trunk control ability test, (TCT) Fugl-Meyel motor function score, (FMA) Berg balance scale (BBS) and modified Barthel index (BI) group were significantly improved (p0.05) .3. After treatment, there were more significant differences between the experimental group and the control group in trunk injury ability score (TIS), (TCT) Berg balance scale (BBS), Fugl-Meyel motor function score (FMA) and modified Barthel index (BI). There was significant difference between the two groups (p0.05). Conclusion 1. Routine rehabilitation training combined with trunk control training and simple routine rehabilitation training can improve the balance and ADL ability of stroke hemiplegic patients. The clinical effect of routine rehabilitation training combined with trunk control training is better than that of routine rehabilitation training alone. Trunk control training has more significant effect on balance, motor function, trunk control ability and daily life ability of patients.
【学位授予单位】：内蒙古大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R743.3

【相似文献】