应用平衡功能检测训练系统改善脑卒中患者平衡功能的疗效观察

The effect of a balance test and training equipment on balance function of stroke patients

目的观察应用PH-A型平衡功能检测训练系统对脑卒中偏瘫患者进行平衡功能训练的疗效. 方法将108例脑卒中偏瘫患者分为治疗组(68例)和对照组(40例).对照组给予常规药物治疗和物理因子治疗,治疗组在常规治疗的基础上同时应用PH-A型平衡功能检测训练系统对患者进行平衡功能训练,2组患者在治疗前、后分别应用该系统检测和Berg平衡功能评定表(BBS)进行评定.平衡检测分别在坐位、双足站立位(睁眼和闭眼状态下)进行,取摆幅指数、重心分布区域、摆动的轨迹长、外周面积4个指标进行分析. 结果 2组患者治疗后BBS评定和平衡检测均有明显改善,其中治疗组的坐位分布区域好转,但无统计学意义(P>0.05),BBS评定和平衡检测站立位各指标均有显著好转(P<0.001);治疗后2组比较差异有统计学意义(P<0.05～P<0.01),治疗组临床疗效明显优于对照组. 结论运用PH-A型平衡功能检测训练系统对偏瘫患者进行平衡功能训练,可以显著提高患者的站立平衡功能.

Objective To study the effect of a balance test and training equipment on balance function of stroke patients. Methods One hundred and eight stroke patients who can stand independently were divided into a treated group （n =68, male 35, female 33） and a control group （n = 40, male 23, female 17）. All patients were treated with routine medication and physiotherapy, the treated group were trained with PH-A balance test and training equipment in addition to the routine treatment. The patients were assessed with Berg Balance Scale （BBS） and computerized balance performance monitor （ BPM）. The parameters of BPM included distributing zone of center of gravity, sway index, sway tract length and area, the patients were assessed twice with eye opened and eye closed respectively. Results The BBS and BPM were improved significantly at the second assessment of both groups. The treated group was better than the control group （P 〈 0.05 - P 〈 0.01 ）. There was no significant difference in the distributing zone of center of gravity at seat position after training, but it was improved markedly at standing （ P 〈 0.05 - P 〈0.001）. Conclusion Balance training with the balance test and training equipment is effective for stroke patients.