太极拳对脑卒中患者运动障碍的临床康复研究

发布时间：2018-05-08 22:03

本文选题：太极拳 + 脑卒中　；参考：《哈尔滨体育学院》2016年硕士论文

【摘要】：目的与意义:脑卒中是指迅速出现局部或弥漫性脑功能缺失的脑血管临床事件,患者发病后会出现运动功能障碍,某种意义上严重影响病人的生活质量。采用系统科学、效果良好的康复治疗手段和方法可以减少脑卒中偏瘫患者的运动功能障碍。太极拳是极具代表性的中国传统拳术,既可用于技击防身,又能强身健体、防治疾病。鉴于此,本研究针对太极拳技术动作进行了整合、简化处理,形成简化八式太极拳,并介入到脑卒中患者运动功能障碍的临床治疗中,验证太极拳针对运动功能障碍的康复效果与价值,为太极拳在脑卒中患者运动功能障碍治疗中的应用和推广奠定基础。研究对象:本实验所有的研究对象均来源于2014年到2015年期间黑龙江省中医药大学附属第二医院康复中心就诊的脑卒中患者,分为太极组和对照组,太极组完成32例患者,对照组完成26例患者,每名实验对象均为自愿参加本实验,并签署实验所需的知情同意书。研究方法:在此研究中分别应用了文献资料法、专家访谈法、实验法、数理统计法。其中实验法为主要研究方法,首先形成适合脑卒中患者的太极拳动作内容和方法,制定易于掌握、操作性强的简化八式太极拳干预测试。两组实验对象均接受院内常规药物治疗,以及相关的常规康复治疗,太极组在此基础上增加太极拳康复训练。分别采用Fugl-Meyer上下肢运动能力测试法、PK254平衡功能评估测试法,测试干预前,干预后4周、8周两组患者运动功能障碍的临床康复状况。测试结束后使用SPSS17.0版统计软件对实验所得数据进行数理统计,并做出科学分析。结论:简化八式太极拳技法对脑卒中患者的上下肢运动功能康复及平衡能力恢复有明显的治疗作用。
[Abstract]:Objective and significance: stroke refers to the rapid occurrence of local or diffuse cerebral functional loss of the cerebrovascular clinical events, the patient will appear after the onset of motor dysfunction, a serious impact on the quality of life of patients. Using systematic science and good rehabilitation treatment can reduce motor dysfunction in stroke hemiplegic patients. Taijiquan is a representative of Chinese traditional boxing, which can be used not only to fight and defend oneself, but also to strengthen one's health and prevent and cure diseases. In view of this, this study integrated Taijiquan technique, simplified treatment, formed simplified eight-style Taijiquan, and intervened in the clinical treatment of stroke patients with motor dysfunction. To verify the rehabilitation effect and value of Taijiquan for motor dysfunction, and to lay a foundation for the application and popularization of Taijiquan in the treatment of motor dysfunction in stroke patients. Participants: all the subjects in this study were stroke patients from the rehabilitation center of the second affiliated Hospital of Heilongjiang University of traditional Chinese Medicine from 2014 to 2015. They were divided into Taiji group and control group. In the control group, 26 patients were enrolled in the experiment voluntarily, and the informed consent was signed. Methods: the methods of literature, expert interview, experiment and mathematical statistics were used in this study. Among them, experimental method is the main research method. Firstly, the content and method of Taijiquan for stroke patients are formed, which is easy to master and easy to master, which can simplify the intervention test of eight-style Taijiquan. Both groups received routine medical treatment in hospital and related routine rehabilitation therapy. Taiji group added Taijiquan rehabilitation training on this basis. The Fugl-Meyer test of upper and lower extremity motor ability and PK254 balance function evaluation method were used to test the clinical rehabilitation status of motor dysfunction in the two groups before and after intervention 4 weeks and 8 weeks after intervention. At the end of the test, the statistical software of SPSS17.0 was used to make mathematical statistics and scientific analysis of the experimental data. Conclusion: the simplified eight-style Taijiquan technique has obvious therapeutic effect on the rehabilitation of upper and lower limb motor function and the recovery of balance ability in stroke patients.
【学位授予单位】：哈尔滨体育学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：G852.11;R277.7

【参考文献】