坐式太极拳对BrunnstromⅡ期脑卒中患者上肢运动功能的影响研究  

Effect of Sitting Tai Chi on Upper Limb Motor Function in BrunnstromⅡStroke Patients

作　　者：王武浩 张广鹏 谢海江 曲芃豫 曲芃橙 王西湖 宗维洁[1] WANG Wuhao;ZHANG Guangpeng;XIE Haijiang;QU Pengyu;QU Pengcheng;WANG Xihu;ZONG Weijie(College of Chinese Martial Arts,Beijing Sport University,Beijing 100084;Department of Physical Education,Qingdao Agricultural University,Qingdao Shandong 266109;Department of Physical Education and Research,Peking University,Beijing 100871)

机构地区：[1]北京体育大学中国武术学院,北京100084 [2]青岛农业大学体育教学部,山东青岛266109 [3]北京大学体育教研部,北京100871

出　　处：《成都体育学院学报》2023年第2期82-87,共6页Journal of Chengdu Sport University

摘　　要：目的:探讨坐式太极拳对BrunnstromⅡ期脑卒中患者上肢运动功能的影响。方法:将20例脑卒中BrunnstromⅡ期患者随机分为实验组(N=10)与对照组(N=10)。两组患者均接受常规康复训练,实验组在此基础上进行30 min坐式太极拳训练,对照组进行同样时长的自由康复练习。治疗前与治疗4周后通过Fugl-Meyer量表上肢部分、改良Barthel指数、肩关节前屈活动度、肩关节外展活动度及肘关节屈曲活动度进行康复评估。结果:4周治疗后,两组患者的FMA-UE评分、肩关节前屈活动度、肩关节外展活动度及肘关节屈曲活动度均显著改善(P<0.01),且实验组改善结果均高于对照组(P<0.05),两组在FMA-UE评分变化率、肩关节前屈活动度变化率、肩关节外展活动度变化率中存在显著性差异(P<0.05),在肘关节屈曲活动度变化率中不存在显著性差异;4周治疗后,两组患者的MBI评分比治疗前均显著改善(P<0.01),但两组组间比较不存在显著性差异。结论:4周的坐式太极拳训练能够提高BrunnstromⅡ期脑卒中患者的上肢运动功能,有效改善患者肩关节前屈活动度与肩关节外展活动度。Objective:To investigate the effect of sitting Tai Chi on upper limb motor function in Brunnstrom II stroke patients.Methods:Twenty patients with upper limb Brunnstrom stageⅡstroke were randomly divided into experimental group(N=10)and control group(N=10).Both groups of patients received routine rehabilitation training,30 minutes of sitting tai chi training for the experimental group,and the same length of free rehabilitation exercise for the control group.Rehabilitation was assessed by Fugl-Meyer scale upper limb portion,modified Barthel index,shoulder forward flexor motion,shoulder abductor motion,and elbow flexor motion before and 4 weeks after treatment.Results:After 4 weeks of treatment,the FMA-UE score,shoulder flexion motion,shoulder abduction motion and elbow flexion motion of both groups were significantly improved(P<0.01),and the improvement results of the experimental group were higher than those of the control group(P<0.05).There were significant differences in change rate of FMA-UE score,change rate of shoulder flexion range of motion and change rate of shoulder abduction range of motion between the two groups(P<0.05),but no significant differences in change rate of elbow flexion range of motion(P>0.05).After 4 weeks of treatment,the MBI score of the two groups was significantly improved(P<0.01),but there was no significant difference between the two groups(P>0.05),and no significant difference in change rate of the MBI score between the two groups(P>0.05).Conclusion:4 weeks of sitting Tai Chi training can improve the upper limb motor function of BrunnstromⅡstroke patients and effectively improve the shoulder joint flexion and abductive range of motion.

关 键 词：太极拳 脑卒中 BrunnstromⅡ期 上肢运动功能 运动康复 运动医学 

分 类 号：G804.5[文化科学—运动人体科学]