水中太极对不完全性脊髓损伤患者平衡功能的影响  

Effects of Aquatic Taiji Quan on Balance Function of Patients with Incomplete Spinal Cord Injury

作　　者：金龙[1,2] 丛芳[1,2] 宋桂芸[1,2] 司凤山[1,2] 姚斌[1,2] 贾威[1,2] 崔尧[1,2] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2017年第8期955-958,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-14)

摘　　要：目的观察水中太极训练对不完全性脊髓损伤患者平衡功能的影响。方法 2015年3月至12月,在常规康复训练基础上,在水中运动训练池中对30例不完全性脊髓损伤患者进行水中太极拳训练,每次30 min,每周5次,共5周。治疗前、后采用Berg平衡量表(BBS)和平衡测试仪对患者进行平衡功能评分以及睁眼和闭眼时重心移动总轨迹长、重心移动面积、重心X轴及Y轴偏移、稳定极限范围及达到目标总时间进行测试。结果训练后BBS评分显著提高(t=-9.652,P<0.001);静态睁、闭眼重心移动总轨迹长、重心移动面积明显减小(t>3.528,Z>-2.590,P<0.01);静态睁、闭眼重心X轴及Y轴位移无明显变化(P>0.05);动态稳定极限范围明显扩大(t=-4.516,P<0.01);到达目标总时间显著缩短(t=4.530,P<0.001)。结论水中太极可以提高不完全性脊髓损伤患者的平衡功能。Objective To investigate the effects of aquatic Taiji Quan on balance function of patients with incomplete spinal cord injury.Methods From March to December,2015,30 patients with incomplete spinal cord injury received aquatic Taiji Quan exercise based on routine rehabilitation,30 minutes every day,five times a week for five weeks.They were assessed with Berg Balance Scale（BBS） before and after exercise.Dynamic balance function and static balance function were also assessed with Active Balancer assessment.Results The BBS score significantly improved after exercise（t=-9.652,P〈0.001）.The track length and area of gravity movement with eyes open and closed decreased（t3.528,Z-2.590,P〈0.01）.No improvement was observed in the deflection center displacement of X and Y axes（P〈0.05）.The dynamic stability limit range enlarged（t=-4.516,P〈0.01）,and the time to target significantly shortened（t=4.530,P〈0.001）.Conclusion Aquatic Taiji Quan can improve the balance function of patients with incomplete spinal cord injury.

关 键 词：不完全性脊髓损伤 太极拳 水中运动疗法 平衡功能 

分 类 号：R651.2[医药卫生—外科学]