核心肌群训练对中风后平衡功能障碍患者运动功能恢复的影响观察  

Effect of core muscle group training on motor recovery in patients with post-stroke balance dysfunction

作　　者：熊贤诗 彭涛[1] 罗颖[1] 魏海棠[1] 杨珺[1] Xiong Xianshi;Peng Tao;Luo Ying(The Hankou Hospital of Wuhan City,Wuhan,Hubei 430000)

机构地区：[1]武汉市汉口医院

出　　处：《基层医学论坛》2019年第25期3570-3572,共3页The Medical Forum

摘　　要：目的研究核心肌群训练对中风后平衡功能障碍患者运动功能恢复的影响。方法选取2017年9月—2018年9月我院收治的中风患者98例作为观察对象,按随机数字表法分为对照组和观察组,各49例。对照组采取常规康复训练,观察组则在对照组基础上实施核心肌群训练,训练1个月后,对比2组患者平衡功能、肢体运动功能情况。结果康复训练前,2组上肢运动功能(Fugl-Meyer)评分对比无显著差异(P>0.05);康复训练1个月后,观察组Fugl-Meyer评分明显高于对照组(P<0.05)。训练前,2组患者平衡功能(Berg)评分无明显差异(P>0.05);康复训练后,观察组患者Berg评分明显高于对照组(P<0.05)。观察组患者6 min步行距离明显比对照组更远,观察组患者行走10 m所需时间明显比对照组更少,差异均有统计学意义(P<0.05)。结论常规康复训练基础上加强核心肌群训练,可有效促进中风后平衡功能障碍患者的运动功能恢复,可在临床中推广。Objective To study the effect of core muscle group training on motor recovery of patients with balance dysfunction after stroke,and to provide clinical guidance for rehabilitation of patients. Methods 98 stroke patients admitted to our hospital from September 2017 to September 2018 were selected as observation objects. According to the random number,the patients were divided into control group and observation group,49 cases each. The control group was received routine rehabilitation training,while the observation group was received core muscle group training on the basis of the control group. After one month of training,the balance function of the two groups was observed and compared,and the limb motor function of the two groups was observed and compared. Results Before rehabilitation training,there was no significant difference in Fugl-Meyer scores between the two groups(P> 0.05);after one month of rehabilitation training,Fugl-Meyer scores in the observation group were significantly higher than those in the control group,with significant difference between the two groups(P<0.05);before training,there was no significant difference in Berg scores between the two groups (P>0.05);after rehabilitation training,there was no significant difference in Fugl-Meyer scores between the observation group and the control group (P>0.05). The Berg score of patients in the observation group was significantly higher than that in the control group,with statistical significance between the two groups(P<0.05);the walking distance of patients in the observation group was significantly longer than that in the control group within 6 minutes,and the time required for patients in the observation group to walk 10 meters was significantly less than that in the control group,with significant difference between the two groups(P<0.05). Conclusion Strengthening core muscle group training on the basis of routine rehabilitation training can effectively promote the motor recovery function of patients with balance dysfunction after stroke,and can b

关 键 词：中风 平衡功能障碍 核心肌群训练 运动功能恢复 影响 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]