核心力量训练对脑梗死偏瘫患者运动能力及平衡能力的影响  

Effect of exercise of the core musculature on motor and balance function in patients with hemiplegia after stroke

作　　者：姚晓岚[1] 张晋红[1] 金莹祺[1] 刘阳[1] 

机构地区：[1]浙江中医药大学附属第二医院康复科,浙江杭州310005

出　　处：《中国现代医生》2015年第19期76-79,共4页China Modern Doctor

基　　金：浙江中医药大学科研基金资助项目(2012ZY10)

摘　　要：目的探讨在脑梗死偏瘫患者康复治疗中开展核心力量训练对患者运动能力和平衡功能的影响。方法选取80例脑梗死偏瘫患者分为对照组(n=40)和观察组(n=40),对照组接受常规康复训练治疗,观察组在常规康复训练治疗基础上开展强化核心肌力训练。治疗前和治疗6周及12周后分别采用Fugl-Meyer运动功能评分(FMA)、Fugl-Meyer平衡量表(FM-B)、改良Bathel(MBI)评分、功能性步行分级(FAC)、TUGT"起立-行走"计时测定(timed"up and go"test)及MWS最大步行速度(maximum walking speed)进行评定。结果治疗6周及12周两组FMA、FM-B、MBI、FAC、TUGT、MWS评分均较治疗前提高(P<0.05);治疗6周后两组比较,FMA、FM-B、MBI、FAC、TUGT、MWS评分无统计学意义(P>0.05);治疗12周后比较,两组FMA、FM-B、MBI、FAC、TUGT、MWS评分有统计学意义(P<0.05)。结论在脑梗死偏瘫患者康复治疗中开展核心力量训练可有效提高患者的下肢运动功能和平衡功能。Objective To study the effect of exercise of the core musculature on motor and balance function in patients with hemiplegia after stroke. Methods A total of 80 patients were divided into observation group（n=40） and control group（n=40）. All the patients received regularly rehabilitation, and the patients in the observation group received the exercise of the core musculature in addition. They were assessed with Fugl-Meyer Assessment （FMA）, Balance subscale of the Fugl-Meyer test（FM-B）, modified Barthel Index（MBI）, FAC, timed “up and go” test （TUGT）, maximum walking speed （MWS） before treatment and after 6 weeks and 12 weeks. Results The scores of FMA, FM-B, MBI, FAC, TUGT and MWS improved significantly in both groups after 6 weeks and 12 weeks of treatment compared with before treat-ment （P〈0.05）. After 6 weeks of treatment, FMA, FM-B, MBI, FAC, TUGT, MWS scores were not significantly dif-ferent compared in two groups （P〉0.05）. After 12 weeks of treatment, FMA, FM-B, MBI, FAC, TUGT, MWS scores were significantly different compared in two groups （P〈0.05）. Conclusion The exercise of the core musculature can obviously improve motor and balance function of stroke patients.

关 键 词：脑梗死 核心肌力 运动功能 平衡功能 日常生活活动能力 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]