早期强化躯干与骨盆控制能力训练对脑卒中患者运动功能的影响

Effect of Early Reinforced Control Ability Training of the Trunk and Pelvis on the Motor Function of Patients with Stroke

目的观察早期强化躯干与骨盆控制能力训练对脑卒中患者运动功能的影响。方法将56例脑卒中偏瘫患者随机分为治疗组和对照组，各28例。两组患者均接受常规药物治疗并配合常规康复训练，45min／次，2次／d，治疗组患者在此基础上增加强化躯干与骨盆控制能力训练，20min／次，2次／d。治疗前后分别对两组患者采用Fugl—Meyer运动功能评定（FMA）、Barthel指数（BI）、功能性步行分级（FAC）等评定。结果治疗2个月后，两组患者的FMA、BI、FAC和偏瘫步态分析评定均较治疗前提高（P〈0．05～0．01），但治疗组疗效优于对照组（P〈0．05）。结论早期强化躯干与骨盆控制能力训练结合常规康复治疗对提高脑卒中患者的运动功能有明显疗效。

Objective To observe the effect of the early reinforced control ability training of the trunk and pelvis on the motor function of patients with stroke. Methods Fifty-six patients with stroke were randomly divided into the therapy group and control group with 28 cases in each group. The patients of two groups were treated with regular rehabilitation training, forty-five minutes at a time, twice one day; at the same time the patients of the therapy group were administrated with the control ability training in the trunk and pelvis, twenty minutes at a time, twice one day. The Fugl Meyer Assessment scale （FMA）, the Barthel Index （BI） and functionality ambulation category （FAC） were used to assess the motor function of the patients, before and after the treatment. Results Two months after treatment, there was a significant increasing in the FMA, BI, FAC and hemiplegia gait analysis assessment in the both groups （ P〈0.05～0.01）, but the walking ability of the therapy group was significantly better than that of the control group （ P〈0. 05）. Conclusion Combined the early reinforced control ability training of the trunk and pelvis with routine rehabilitation training is obvious effect on the motor function of the patients with stroke.