核心肌群训练对脑卒中偏瘫患者步行能力的影响  

Influence of core muscle training on walking capability of stroke hemiplegia sufferers

作　　者：王伟[1] 王杨[1] 胡西[1] 刘杰[1] 闫玮娟[1] 李远征[1] 代新年[1] 

机构地区：[1]济南军区青岛第二疗养院全军神经康复中心,266071

出　　处：《中国疗养医学》2014年第2期152-154,193,共3页Chinese Journal of Convalescent Medicine

基　　金：济南军区后勤科研计划课题(CJN12J062)

摘　　要：目的研究核心肌群训练对脑卒中偏瘫患者步行能力的影响。方法 78例脑卒中后步行障碍的患者随机分为治疗组和对照组,每组39例。对照组进行常规康复训练,治疗组在运动训练的基础上加以核心肌群训练,治疗8周后采用Berg平衡量表(BBS)评价平衡能力、10 m最大步行速度(MWS)评价步行速度、简化Fugl-Meyer量表(FMA)评价下肢运动功能,改良Barthel指数(MBI)评定日常生活活动能力。结果治疗前两组平衡能力、步行速度、下肢功能及日常生活活动能力比较差异无统计学意义(P>0.05),具有可比性。治疗后两组平衡能力、步行速度、下肢运动功能及日常生活活动能力评定均较治疗前有改善(P<0.05),两组相比治疗组优于对照组(P<0.05)。结论核心肌群训练配合常规康复训练对脑卒中偏瘫患者恢复步行能力有更好疗效。Objective To investigate the influence of core muscle training on walking capability of stroke hemiplegia sufferers . Methods 78 patients with impaired walking capability after stroke were randomly divided into treatment group and control group with 39 cases in each group . The control group were given conventional rehabilitation training , while the treatment group were given additional core muscle training as well as conventional rehabilitation training . After 8 weeks of treatment , Berg Balance Scale （ BBS ） was adopted to assess the balanced ca-pacity , 10 m Maximum Walking Speed （ MWS ） to assess the walking speed , Fugl-Meyer Assessment （ FMA ） to assess the lower limb motor function , and Modified Barthel Index （ MBI ） to assess the activities of daily living . Results Before treatment , the differences of balanced ca-pacity , walking speed , lower limb motor function , and activities of daily living between the two groups were not of statistic significance （ P＆gt;0 . 05 ） . After treatment , the balanced capacity , walking speed , lower limb motor function , and activities of daily living between the two groups obviously improved （ P＆lt;0 . 05 ） . And the treatment group was significantly superior to the control group （ P＆lt;0 . 05 ） . Conclusion Core muscle training,combined with conventional rehabilitation training,has preferable effect on walking capability recovery of stroke hemiplegia sufferers.

关 键 词：卒中 核心肌群训练 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]