平衡功能对偏瘫患者肢体功能活动及日常生活能力的影响

Effect of balance function on limb function and activities of daily living in hemiplegic patients

目的:探讨平衡功能对偏瘫患者肢体功能恢复及日常生活活动能力的影响。方法:47例偏瘫患者,用Berg平衡量表(Bergbalancescale,BBS)评测平衡功能、用活动分析法(tasksanalysisapproach,TAA)评测肢体功能活动、Barthel指数(Barthelindex,BI)评测日常生活活动能力,对平衡功能与肢体功能活动、日常生活活动能力的相关性进行分析。47例患者随机分为观察组(n=25)和对照组(n=22),两组均接受常规康复训练,观察组除接受常规康复训练外还接受有针对性的平衡训练。比较训练前后平衡功能、肢体功能恢复和日常生活活动能力。结果:入院时平衡功能、肢体功能恢复、日常生活活动能力评分分别为BBS27.17±14.47,TAA35.25±15.22,BI52.06±22.41,平衡功能与肢体运动功能呈正相关(r=0.519,P=0.008);平衡功能与为日常生活活动能力呈正相关(r=0.530,P=0.009)。训练前后比较,两组BBS,TAA,BI均有统计学意义(P<0.01),观察组更优于对照组(P<0.01,P<0.05)。结论:偏瘫患者平衡功能与肢体运动功能、日常生活活动能力密切相关。在偏瘫患者肢体功能恢复中,平衡功能的恢复对患者的肢体功能恢复有促进作用。

AIM:To study the influence of balance function on the recovery of limb function and the activities of daily living(ADL) in hemiplegic patients. METHODS:The balance function, limb mobility and ADL of 47 hemiplegic patients were evaluated with the Berg balance scale(BBS),the tasks analysis approach(TAA) and the Barthel index(BI) respectively.The relationships of balance function with limb mobility and ADL were analyzed.All the patients were randomly divided into observation group(n=25) and control group(n=22).Both groups received routine rehabilitative training,and besides,patients in the observation group received balance training.The balance function, limb mobility and ADL were compared before and after treatment. RESULTS:The scores of BBS,TAA and BI at admission were 27.17±14.47,35.25±15.22 and 52.06±22.41 respectively,and balance function was positively correlated with limb mobility(r=0.519,P=0.008) and ADL (r=0.530,P=0.009).Before and after training, the scores of BBS, scores and BI were significantly different in both groups(P< 0.01),and those in the observation groups were better than those in the control groups(P< 0.01,P< 0.05). CONCLUSION: Balance function is closely related with limb function and ADL.The recovery of balance has the improving effect on the functional recovery of the hemiplegic patients.