Bobath理念下核心肌群训练对脑卒中偏瘫患者步行功能的影响分析

Analysis of the Influence of Core Muscle Group Training under the Bobath Concept on the Walking Function of Stroke Patients with Hemiplegia

目的讨论Bobath理念下核心肌群训练对脑卒中偏瘫患者步行功能的影响.方法选取2019年3月-2020年10月该院收治的120例脑卒中偏瘫患者为研究对象,依据训练方式不同分为对照组、观察组,各60例.对照组采用常规康复训练,观察组采用Bobath理念下核心肌群训练.比较两组治疗前后步行功能;下肢功能、日常生活能力、平衡功能评分;训练效果.结果两组治疗前的步行功能(10 m步行时间、6 min步行距离)、平衡功能、日常生活能力、下肢功能评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组上述指标较对照组更优,组间差异有统计学意义(P<0.05);观察组的总有效率高于对照组,差异有统计学意义(P<0.05).结论脑卒中偏瘫患者应用Bobath理念下核心肌群训练模式进行康复治疗,可有效改善步行功能,值得推广.

Objective To discuss the impact of core muscle training under Bobath's concept on the walking function of stroke patients with hemiplegia.Methods A total of 120 stroke patients with hemiplegia admitted to the hospital from March 2019 to October 2020 were selected as the research objects.According to different training methods,they were divided into a control group and an observation group,with 60 cases in each group.The control group used conventional rehabilitation training,and the observation group used core muscle training under the Bobath concept.The walking function,the scores of lower limb function,daily living ability,balance function before and after treatment,and training effect were compared between the two groups.Results There was no significant difference between the two groups in the comparison of the walking function(10 m walking time,6 min walking distance),balance function,ability of daily living,and lower limb function scores before treatment(P>0.05);after treatment,the above indicators in the observation group were better than those in the control group,and the differences between the groups were statistically significant(P<0.05);the total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Patients with stroke and hemiplegia apply the core muscle training model under Bobath's concept for rehabilitation treatment,which can effectively improve walking function and is worthy of promotion.