太极拳对脑卒中后单侧空间忽略患者的康复疗效观察

Effect of Taijiquan on for Ppatients with Uunilateral Sspatial Nneglect after Sstroke

目的研究太极拳对脑卒中后单侧空间忽略患者的康复疗效观察.方法于2019年1月—2020年1月纳入60例符合条件的脑卒中后单侧空间忽略患者,随机分成对照组(n=30)和试验组(n=30).两组患者均进行常规康复,试验组在此基础上,加练简式太极拳中的5式动作.治疗前及治疗6周后,采用Fugl-Meyer评定量表(FMA)、Barthel指数(BI)、书面评测(二等分线段试验、删除试验(Albert测验)、临摹图形试验)、凯瑟琳-波哥量表(CBS)进行评定.结果太极拳试验组治疗后各时间点书面测评项目及CBS评分均低于对照组(P<0.05),FMA评分、BI评分高于对照组(P<0.05).结论太极拳运动能更有效改善脑卒中后单侧空间忽略患者的空间忽略状态、日常生活自理能力和运动功能.

Objective To investigate the therapeutic effect of Taijiquan on for patients with unilateral spatial neglect after stroke.Methods Eligible patients with unilateral spatial neglect after stroke from January 2019 to January 2020 were included and randomly divided into control group(n=30)and experimental group(n=30).Both groups received routine rehabilitation.On this basis,the experimental group practiced 5 movements of simple Tai Chi.Before and 6 weeks after treatment,fugl-Meyer Assessment Scale(FMA),Barthel Index(BI),written evaluation(bis-segment test,Albert test,copying graph test)and Catherine-BogoKatharine Bogo Scale(CBS)were used for evaluation.Results The wWritten evaluation items and CBS scores at each time point after treatment in the Tai Chi test group were all lower than those in the control group(P<0.05),and FMA scores and BI scores were higher than those in the control group(P<0.05).Conclusion Taijiquan can effectively improve the spatial neglect state,daily self-care ability and motor function of patients with unilateral spatial neglect after stroke.