奥塔戈运动对社区中枢性偏瘫患者恐惧跌倒的随访研究  

Follow-up study on Otago exercise program on fear of falling in central hemiplegia patients in communities

作　　者：乔玉花[1] 曹红军[1] 廉莹[1] 倪玉春 

机构地区：[1]攀钢集团总医院神经内科,四川攀枝花617023

出　　处：《华西医学》2017年第1期17-20,共4页West China Medical Journal

摘　　要：目的探讨奥塔戈运动项目(Otago exercise programme,OEP)对社区中枢性偏瘫患者因恐惧而害怕跌倒的影响。方法选择2014年1月—6月出院的中枢性偏瘫患者61例,将其随机分为试验组30例及对照组31例。试验组患者出院后进行OEP锻炼,对照组未进行OEP锻炼。于所有患者出院前1 d(干预前)及第20周随访(干预后)时进行问卷调查,评价患者恐惧跌倒效能、平衡能力及移动能力等指标。结果干预后,试验组患者完成OEP锻炼依从率为73.3%。干预前,两组修正版跌倒效能量表(modified fall efficacy scale,MFES)得分、Berg平衡量表(Berg balance scale,BBS)得分及起立-行走计时测试(time up and go test,TUGT)时间比较,差异均无统计学意义(P>0.05)。干预后,试验组内MFES得分以及BBS得分均高于干预前(P<0.05),TUGT时间干预后少于干预前(P<0.05);试验组MFES得分以及BBS得分均高于对照组患者(P<0.05),TUGT时间比较差异无统计学意义(P>0.05)。对照组内干预前后MFES得分、BBS得分及TUGT时间比较,差异均无统计学意义(P>0.05)。结论中枢性偏瘫患者出院后进行OEP锻练,可降低患者恐惧跌倒效能,提高患者平衡能力。Objective To evaluate the effect of Otago exercise program（OEP） on fear of falling in central hemiplegia patients in communities.Methods We collected the clinical data of 61 central hemiplegia patients in the Department of Neurology of Pangang General Hospital from January to June 2014.They were randomly divided into treatment group（n=30） and control group（n=31） after discharge.The treatment group had OEP,while the control group had not.After 20 weeks of follow-up,we evaluated fall self-efficacy,balance and mobility of patients in the two groups.Results The OEP adherence rate was 73.3% for the treatment group.In the treatment group,modified fall efficacy scale（MFES） score and Berg balance scale（BBS） score were significantly higher than those before intervention（P〈0.05）;time up and go test（TUGT） score was significantly lower than that before intervention（P〈0.05）.In the control group,MFES score,BBS score and TUGT score were not significantly changed（P〉0.05）.After intervention,MFES score and BBS score of the treatment group were significantly higher than those of the control group（P〈0.05）,but TUGT score was not significantly different（P〉0.05）.Conclusion OEP for central hemiplegia patients after discharge can reduce fall selfefficacy and increase balance ability of the patients.

关 键 词：中枢性偏瘫 恐惧跌倒 奥塔戈运动 

分 类 号：R743.3[医药卫生—神经病学与精神病学]