Swiss球躯干功能训练对恢复早期脑卒中偏瘫患者平衡及步行功能的影响  

Trunk exercise using the Swiss ball improves the functional balance and walking of stroke patients in the early stages of recovery

作　　者：吴鸣[1] 倪朝民[1] 刘孟[1] 崔俊才 昝明 陶泽林 

机构地区：[1]安徽省立医院康复医学科,合肥230061

出　　处：《中华物理医学与康复杂志》2016年第3期183-186,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：安徽省科技厅年度重点科研项目（11070403064）

摘　　要：目的观察Swiss球躯干功能训练对恢复早期脑卒中偏瘫患者平衡及步行功能的影响。方法采用随机数字表法将60例脑卒中偏瘫患者分为实验组及对照组，2组患者均于生命体征平稳后给予常规康复治疗，对照组患者在此基础上给予常规躯干功能训练，实验组患者则辅以Swiss球躯干功能训练。于治疗前、治疗4周后分别采用躯干控制试验（TCT）、Berg平衡量表（BBS）对患者进行疗效评定，同时采用AL．080型步态与平衡功能评估系统检测2组患者坐位30s重心轨迹长（LOM）、坐位稳定极限范围（LOS）、步速及步态不对称性指数（GAI）。结果治疗4周后发现2组患者TCT积分、BBS评分、LOM以及LOS均较训练前明显改善（P〈0．05）；并且治疗后实验组TCT积分[（85．14±10．04）分]、BBS评分[（45．12±4．14）分]、LOS[（93．87±12．80）cm^2]、LOM[（21．15±6．12）mm]、GAI（0．32±0．11）及步速[（34．91±9．17）cm／s]均显著优于对照组水平，组间差异均具有统计学意义（P〈0．05）。结论Swiss球躯干功能训练能显著提高恢复早期脑卒中偏瘫患者躯干控制能力，促进患者平衡及步行功能进一步改善，该疗法值得临床推广、应用。Objective To examine the effects of trunk exercises performed using a Swiss ball on functional balance and walking in the early stage of recovering from a stroke. Methods Sixty hemiplegic stroke patients were randomly assigned to a control group or an experimental group, each of 30. Both groups were treated with routine physical training. Those in the control group did conventional trunk exercises, while the patients in the experimental group were given trunk exercises performed using a Swiss ball. The trunk control test （TCT） and the Berg Balance Scale （BBS） were used to assess the patients＇ trunk and balance function. Gait and balance function training and assessment apparatus （model AL-080） was used to measure and compare the scope of movement of the patient＇s center of pressure in static sitting over 30 seconds （LOM） , the limits of stability （LOS） , velocities and a gait asymmetry index （GAI）. Results Significant improvements in TCT, BBS, LOM and LOS were observed in both groups after the training, but all of the measures improved significantly more in the experimental group than in the control group. Conclusions Swiss ball trunk exercise can obviously improve the trunk control, functional balance and walking of stroke patients in the early stages of recovery.

关 键 词：脑卒中 偏瘫 Swiss球 躯干功能 平衡 步态 

分 类 号：R743.3[医药卫生—神经病学与精神病学]