本体感觉训练结合核心稳定性训练对脑卒中偏瘫患者下肢功能及平衡的影响

Effect of Proprioceptive Training and Core Stability Training on Lower Limbs Motor Function and Balance in Patients with Hemiplegia after Stroke

目的探讨本体感觉训练与核心稳定性训练相结合对脑卒中偏瘫患者下肢功能及平衡的影响。方法 40例脑卒中偏瘫患者随机分为治疗组(n=20)和对照组(n=20)。对照组进行常规康复训练,治疗组在此基础上增加本体感觉训练和核心稳定性训练,共6周。治疗前后采用简式Fugly-Meyer评定(FMA)下肢运动功能部分、Holden功能步行分级(FAC)、Berg平衡量表(BBS)、计时起立-行走测试(TUGT)进行评定。结果治疗后,两组患者FMA、FAC、BBS、TUGT评分均较治疗前明显改善(P<0.01),且治疗组均优于对照组(P<0.05)。结论增加本体感觉训练与核心稳定性训练可进一步提高脑卒中偏瘫患者的下肢运动功能及平衡功能。

Objective To investigate the effects of proprioceptive training and core stability training on the lower limbs motor function and balance in patients with hemiplegia after stoke. Methods 40 patients were randomly divided into treatment group（n=20） and control group（n=20）. Both groups received routine rehabilitation and the treatment group received proprioceptive training and core stability training in addition. They were assessed with Fugl-Meyer Assessment（FMA） of lower limbs, Functional Ambulation Category（FAC）, Berg Balance Scale（BBS）, Timed Up-and-Go Test（TUGT） before and 6 weeks after treatment. Results The scores of FMA, FAC, BBS and TUGT improved in both groups after treatment（P〈0.01）, and improved more in the treatment group than in the control group（P〈0.05）. Conclusion Addition of proprioceptive training and core stability training may further improve the lower limbs motor function and balance of the hemiplegics after stroke.