非受累侧上肢运动训练对脑卒中患者躯干控制与平衡功能的影响

Effects of unaffected side upper extremity exercises on trunk control and balance function in patients with stroke

目的:探讨非受累侧上肢运动训练对脑卒中患者躯干控制能力及平衡功能的影响。方法:选取我科收治的脑卒中患者36例,随机分配至试验组与对照组各18例,两组患者均接收常规康复治疗,试验组在此基础上增加非受累侧上肢运动训练,训练4周后评估两组患者的TIS、BBS、TUG以及ABC评分。结果:治疗后两组TIS、BBS、TUG和ABC均显著改善(P<0.001),试验组TIS(t=2.94,P=0.006)、BBS(t=2.82,P=0.006)、TUG(t=3.70,P=0.001)和ABC(t=﹣2.17,P=0.037)均显著优于对照组,差异有显著性意义。结论:非受累侧上肢运动训练可以提高脑卒中患者躯干控制能力和平衡功能。

Objective:To explore the effects of unaffected side upper extremity exercises on trunk control and balance function in patients with stroke.Method:Thirty-six patients with stroke were randomized into experimental groups(18 cases)and control group(18 cases).Both groups received conventional physical therapy for 4 weeks.The patients in experimental group were treated with additional unaffected side upper extremity exercises.The trunk impairment scale(TIS),Berg balance scale(BBS),time up and go test(TUG),and activities-specific balance confidence scale(ABC)were measured before and after training in both groups.Result:The scores of TIS,BBS,TUG and ABC in both groups were all improved after treatment than those before(P<0.001).Compared with control group,there were significant improvements in TIS(t=2.94,P=0.006),BBS(t=2.82,P=0.006),TUG(t=3.70,P=0.001)and ABC(t=﹣2.17,P=0.037)in experimental group.Conclusion:Unaffected side upper extremity exercises can significantly improve trunk control and balance function in patients with stroke.