卧位式强化训练对脑外伤后偏瘫患者运动及平衡功能的影响

Observation the effect of semireclining position training in hemiplegia after brain truama.

目的:探讨卧位式强化训练对脑外伤后偏瘫患者运动功能、平衡能力和日常生活能力的影响。方法:将30例脑外伤偏瘫手术后患者随机分成实验组和对照组,每组15例。对照组采用Bobath技术为主的神经促进技术进行运动训练,实验组在此基础上进行卧位式强化训练。分别于术后1周、训练后8周末,采用简化Fugl—Meyer运动功能评分、Fugl-Meyer平衡功能评分和改良Barthel指数进行评定。结果:训练8周后两组的各项评分均显著高于训练前(P<0.01),而实验组各项评分又明显高于对照组(P<0.05)。结论:卧位式强化训练较常规运动训练能更显著地改善脑外伤偏瘫患者的运动功能、平衡能力和日常生活活动能力。

Objective： Study on the effect of semireclining position training on limb motor function, balance ability and ADL in patients with hemiplegia after brain truama. Methods： 30 cases patients with hemipiegia after brain truama were randomly divided into two group,the general exercise group（ control group ） and the intensive activities group（ test group B）. Both of the two groups had the same general nursing therapy and the two groups by simplified Fugl- Meyer motor function scale and Fugl - Meyer balanee scale and Modified Barthel index separately at the time of after operation 8 weeks later and evaluated the clinic curative effect. Results ： The assessment in the test group was better than control group after 8 weeks training. There was significant differences between two groups（ P 〈 0.05 ）. Conclusion ： Semireclining position training were more effective than routine exercises on motor function, balance ability and ability of ADL in hemiplegia after brain truama.