强化躯干肌训练对偏瘫患者平衡及步行能力的影响

The effect of intensive trunk muscle training on balance and walking in hemiplegic patients

目的探讨强化躯干肌训练对脑卒中偏瘫患者平衡及步行能力的影响。方法将90例偏瘫患者随机分成治疗组和对照组各45例。2组患者均采用常规康复方法进行治疗,治疗组患者同时给予强化躯干肌训练。分别于治疗前、后对2组患者的躯干控制能力(TCT)、平衡功能和步行能力进行评定。结果2组患者经治疗后其躯干控制能力、平衡功能和步行能力评分均较治疗前显著改善(P<0.01),并且治疗组患者各项指标的改善幅度均明显优于对照组(P<0.05);进一步分析后还发现,患者躯干控制能力分别与平衡功能及步行能力呈正相关。结论强化躯干肌训练对偏瘫患者平衡及步行功能均有积极促进作用。

Objective To study the effect of intensive trunk muscle training on balance and walking in patients with hemiplegia caused by stroke. Methods A total of 90 stroke patients were recruited and randomly divided into a treatment group （45 cases） and a control group （45 cases）. All the patients were given conventional rehabilitation training. Meanwhile, intensive trunk muscle training was also administered for those in the treatment group as well. The trunk control function, balance ability and walking ability were assessed by using the trunk control test, Berg Balance Scale and the balance subscale of the Fugl-Meyer physical performance test, and Holden＇s functional ambulation classification, respectively, before and after 6 weeks of training. Results It was found that all the patients scored better with the trunk control test, Berg＇s balance scale, the balance subscale of the Fugl-Meyer physical performance test and Holden＇s ambulation classification after treatment, and there were significant differences between the two groups after treatment （ P 〈 0.01 ） with regard to all the test parameters（ P 〈 0.05 ）. It was also found that the trunk control function was positively correlated to balance and walking functions. Conclusion Intensive trunk muscle training of the stroke patients can significantly improve their balance and walking function.