早期躯干与骨盆控制训练对偏瘫患者运动功能的影响  

The effect of early consolidated control training of trunk and pelvis on motor function in patients with hemiplegia

作　　者：廖亮华[1,2] 江兴妹[1,2] 叶志卫[1,2] 罗林坡[1,2] 古丽梅[1,2] 黄步哲[1,2] 滕新[1,2] 钟志锋[1,2] 潘洁[1,2] 

机构地区：[1]广东医学院附属惠州医院 [2]惠州市中心人民医院康复科,惠州516001

出　　处：《中国康复医学杂志》2011年第5期443-446,共4页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:探讨早期躯干与骨盆控制训练对脑卒中偏瘫患者运动能的影响。方法:80例偏瘫患者随机分成治疗组和对照组各40例。两组患者采用常规康复治疗方法,治疗组加躯干与骨盆控制训练。治疗前后两组患者采用各项评分量表评定躯干控制能力(TCT)、平衡功能(BBS)、日常生活活动能力(MBI)、步行能力(FAC)和运动功能(FMA)评分,比较两组治疗效果。结果:两组患者治疗后躯干控制能力、平衡功能、日常生活活动能力、步行能力和运动功能评分与治疗前比较差异有显著性意义(P<0.01),且治疗组差值优于对照组(P<0.05)。躯干控制能力分别与平衡功能、日常生活活动能力、步行能力和运动功能呈正相关。结论:早期躯干与骨盆控制训练对提高偏瘫患者运动功能有良好的促进作用。Objective：To study the effect of early consolidated control training of trunk and pelvis on motor function in patients with hemiplegia after stroke. Method：Eighty patients were randomly divided into treatment group （40 cases） and control group （40 cases）, patients in the two groups were given regularly rehabilitation training. The patients of treatment group were administered with the control ability training of trunk and pelvis. Trunk control test（TCT）, Berg balance scale （BBS）, modified Barthel index（MBI）, functional ambulation category（FAC） and Fugl-Meyer assessment scale （FMA） were used to assess motor function of patients before and after treatment. Result：There were significant differences of TCT scores, BBS scores, FAC scores, MBI scores and FMA scores between two groups after treatment（P0.01）, the gain of scores in treatment group were obviously superior to that in control group （P0.05）. The trunk control function was positively correlated to BBS, MBI, FAC and FMA function. Conclusion：The early consolidated control training of trunk and pelvis can obviously improve motor function of patients with hemiplegia after stroke.

关 键 词：躯干与骨盆控制训练 偏瘫 平衡功能 步行能力 日常生活活动能力 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]