动态人体重心和支撑面积监测下平衡训练对脑卒中偏瘫患者平衡能力的影响  

The effects of static balance training with dynamic human center of mass and base of support monitoring system in stroke patients

作　　者：谢凌锋[1] 林志峰[2] 黄杰[1] 夏楠[1] 黄寒冰[1] 王盛强[1] 

机构地区：[1]华中科技大学同济医院学院附属同济医院康复医学科 [2]台湾中山医学大学附设医院中兴分院复健治疗科

出　　处：《中国康复医学杂志》2016年第10期1094-1098,共5页Chinese Journal of Rehabilitation Medicine

基　　金：华中科技大学自主创新研究基金项目(2014ZHYX009)

摘　　要：目的:观察动态人体重心和支撑面积监测下的站立平衡训练对脑卒中偏瘫患者静态平衡功能的影响。方法:选取符合标准的60例脑卒中患者按照随机数字表法分为试验组(30例)和对照组(30例),2组患者均给予常规康复治疗,试验组在此基础上采用动态人体重心和支撑面积监测下的站立平衡训练。于治疗前和治疗4周后分别采用Berg平衡量表(Berg balance scale,BBS)、动态重心和支撑面积监测系统及Tecnobody本体感觉评估系统对其静态平衡能力进行评估。结果:治疗4周后,试验组患者Berg评分差值显著高于对照组(P<0.05);双足并拢站立状态下实验组重心前后(AP)及左右(LR)偏移角度差值均显著高于对照组(P<0.05);双足前后(tandem stance,TS)站立下,试验组重心左右偏移角度差值显著高于对照组,两组重心前后偏移角度差值未获得显著性差异(P>0.05);试验组Tencnobody本体感觉训练系统测得的重心移动距离与重心描绘面积均显著高于对照组(P<0.05)。结论:动态人体重心和支撑面积监测系统辅助下的生物反馈平衡训练能够有效改善脑卒中患者的静态平衡功能,且其训练效果优于常规训练。Objective： To observe the effects of static standing balance training with dynamic human center of mass and base of support monitoring system （DMS） for hemiplegic patients. Method：Sixty sub-acute stroke patients were involved in our study and randomly divided into study group （30 cases） and control group （30 cases）. Conventional rehabilitation treatments were provided for all these subjects for 4 weeks. And additional static balance training with the help of DMS was provided for patients in the study group. Before and after 4 weeks＇ research, Berg balance scale （BBS）, DMS and Tecnobody Pro-Kin sys- tems were used respectively for all subjects on static balance evaluation. Result：The increase of BBS of study group were significantly higher than that of control （P〈0.05）. The porta- ble biofeedback instruments data revealed the reduce of average trunk angular displacements （ATAD） when standing with feet together （SFT） and tandem standing （TS） on coronal plane （L-R） in study group were obvi- ously higher than that in control （P〈 0.05）, and ATAD with SFT on sagittal plane （A-P） performed the similar change （P 〈 0.05）. No difference was detected between the two groups in other data. Conclusion： Biofeedback training with dynamic human center of mass and base of support monitoring system （DMS） could effectively improve static balance of sub-acute stroke patients compared to conventional training.

关 键 词：平衡功能 生物反馈训练 脑卒中 

分 类 号：R743.3[医药卫生—神经病学与精神病学]