PNF技术坐位躯干训练对早期脑卒中患者平衡功能、日常生活能力的影响  

Effects of PNF Technique Sitting Trunk Training on Balance Function and Activities of Daily Living in Patients with Early Stroke

作　　者：冼祖新[1] 陈焕洲 刘理[1] XIAN Zu-xin;CHEN Huan-zhou;LIU Li(Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan Guangdong 528400)

机构地区：[1]中山市中医院,广东中山528400

出　　处：《按摩与康复医学》2023年第4期12-14,18,共4页Chinese Manipulation and Rehabilitation Medicine

基　　金：中山市社会公益与基础研究项目(医疗卫生)(2020B1132);中山市卫生健康局医学科研项目(2022J034)。

摘　　要：目的:探讨PNF技术坐位躯干训练对早期脑卒中患者平衡功能、日常生活能力的影响。方法:选取2021年6月-2021年12月于中山市中医院康复科住院确诊的脑卒中患者60例,按随机数字表法分为两组,各30例。对照组采取常规康复训练,观察组在此基础上实施PNF技术坐位躯干训练,比较两组平衡功能和步行能力、肢体运动功能和日常生活能力、躯干控制能力。结果:干预前,观察组和对照组Berg平衡量表(BBS)评分和起立行走实验(TUG)、10m步行测试(10MWT)时间比较,无统计学差异(P>0.05);干预后,观察组BBS评分高于对照组,TUG、10MWT时间均短于对照组(P<0.05);干预前,观察组和对照组上肢功能量表(FMA-UL)、下肢功能量表(FMA-LL)及改良日常生活自理能力指数量表(MBI)评分比较,无统计学差异(P>0.05);干预后,观察组FMA-UL、FMA-LL及MBI评分均高于对照组(P<0.05);干预前,观察组和对照组Sheikh躯干控制量表评分对比,无统计学差异(P>0.05);干预后,观察组Sheikh躯干控制量表评分高于对照组(P<0.05)。结论:早期脑卒中患者实施PNF技术坐位躯干训练可有效提升患者平衡能力、步行能力及肢体运动功能,提高患者日常生活能力,改善躯干控制能力。Objective:To explore the effect of PNF sitting trunk training on balance function and activities of daily living in patients with early stroke.Methods:60 stroke patients hospitalized in the rehabilitation department of Zhongshan Hospital of Traditional Chinese medicine from June 2021 to December 2021 were randomly divided into two groups with 30 cases in each group.The control group received routine rehabilitation training,and the observation group implemented PNF sitting trunk training on this basis.The balance function,walking ability,limb motor function,daily living ability and trunk control ability of the two groups were compared.Results:Before the intervention,there was no significant difference between the observation group and the control group in the score of Berg Balance Scale(BBS),the time of standing up and walking test(TUG) and 10m walking test(10MWT)(P>0.05);After the intervention,the BBS score of the observation group was higher than that of the control group,and the time of tug and10mwt were shorter than that of the control group(P0.05);After the intervention,the scores of FMA-UL,FMA-LL and MB I in the observation group were higher than those in the control group(P0.05);After the intervention,the score of Sheikh trunk control scale in the observation group was higher than that in the control group(P<0.05).Conclusion:The implementation of PNF sitting trunk training in early stroke patients can effectively improve the patients’ balance ability,walking ability and limb motor function,improve the patients’ ability of daily living and improve the trunk control ability.

关 键 词：早期脑卒中 PNF技术坐位躯干训练 平衡能力 日常生活能力 

分 类 号：R743[医药卫生—神经病学与精神病学]