核心稳定性训练对脑梗死患者术后上肢运动功能康复的应用价值分析  

Analysis of the Application Value of Core Stability Training in the Rehabilitation of Upper Limb Motor Function Post-Surgery in Patients with Cerebral Infarction

作　　者：张飒 ZHANG Sa(Department of Rehabilitation,First Affiliated Hospital of Nanyang Medical College,Nanyang Henan 473000,China)

机构地区：[1]南阳医学高等专科学校第一附属医院康复科,河南南阳473000

出　　处：《临床研究》2025年第5期38-41,共4页Clinical Research

摘　　要：目的研究核心稳定性训练在脑梗死患者术后上肢运动恢复中的实际效果,为临床提供参考。方法选取2021年1月至2023年12月在南阳医学高等专科学校第一附属医院治疗的144例脑梗死恢复期患者为研究对象。按照随机数字表法分为对照组和观察组,每组72例。对照组患者接受标准的康复治疗程序,观察组患者在对照组的基础上增加核心稳定性训练。比较两组患者的上肢Fugl-Meyer运动功能评定量表(FMA-UE)评分、Fugl-Meyer平衡(FM-B)评分、改良Barthel指数(MBI)评分、超声肌肉结构参数,并评估两组患者的康复满意度。结果干预后,两组患者上肢FMA-UE各项评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的FM-B评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的MBI评分均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预后,两组患者的肌纤维长度、肌纤维厚度均升高,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组患者康复满意度评分高于对照组,差异有统计学意义(P<0.001)。结论利用核心稳定性训练对脑梗死患者进行干预,可有效促进上肢运动能力恢复,提升患者身体平衡能力以及生活自理能力,改善患者满意度。Objective To study the actual effect of core stability training on the recovery of upper limb movement in patients with cerebral infarction post-surgery and provide a reference for clinical practice.Methods A total of 144 convalescent patients with cerebral infarction treated at the First Affiliated Hospital of Nanyang Medical College from January 2021 to December 2023 were selected as research subjects.They were randomly divided into a control group and an observation group by the random number table method,with 72 cases in each group.The control group received standard rehabilitation treatment programs,while the observation group added core stability training to the standard program.Comparisons were made between the groups regarding the Upper Extremity Fugl-Meyer Assessment(FMA-UE)scores,Fugl-Meyer Balance(FM-B)scores,Modified Barthel Index(MBI)scores,ultrasonographic muscle structure parameters,and rehabilitation satisfaction.Results After the intervention,the FMA-UE scores of both groups increased,and the observation group showed significantly higher scores than the control group(P<0.05).The FM-B scores in both groups also increased,with the observation group achieving significantly higher scores than the control group(P<0.05).The MBI scores of both groups improved,with higher scores in the observation group compared to the control group(P<0.05).Both muscle fiber length and thickness increased post-intervention,with the observation group showing more significant improvements than the control group(P<0.05).The rehabilitation satisfaction score in the observation group was significantly higher than that in the control group(P<0.001).Conclusion Core stability training intervention in patients with cerebral infarction effectively promotes the recovery of upper limb motor ability,enhances patients'balance and self-care capabilities,and improves patient satisfaction.

关 键 词：核心稳定性训练 脑梗死 运动功能 平衡功能 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]