本体感觉强化训练对脑卒中患者运动障碍及生活质量的影响

Proprioceptive training on stroke patients with movement disorders and quality of life

目的：探讨本体感觉强化训练对脑卒中患者运动功能障碍的疗效及对生活质量的影响.方法：60例脑卒中偏瘫患者,随机分为治疗组30例（一般康复训练＋本体感觉强化训练）及对照组30例（一般康复训练）.以Fugl-Meyer评定法、改良Barthel指数量表及SF-36量表作为观察指标,分别于入院时及治疗6周后进行评估.结果：治疗后治疗组Fugl-Meyer运动积分和改良Barthel指数量表积分及SF-36量表积分与治疗前比较差异均有显著性意义（P〈0.01）,而对照组的运动积分和改良Barthel指数量表积分及SF-36量表积分与治疗前比较差异均有显著性意义（P〈0.05）.治疗前,两组患者运动积分和改良Barthel指数量表积分及SF-36量表积分与治疗前比较差异均无显著性意义（P〉0.05）,治疗后两组患者比较差异有显著性意义（P〈0.05）.结论：本体感觉强化训练对脑卒中偏瘫患者运动功能有良好的治疗作用,有利于患者生活质量的提高.

Objective： To observe the treatment effect by body self--feeling strengthening training on the stroke patients. Methods： 60 cases with paralysis on one side were chosen randomly and divided into two groups. Each group had 30 cases. The treatment group was treated by general reha- bilitation training plus body self--feeling strengthening training. The control group was treated by general rehabilitation training only. Applied with the Fugl--Meyer asgessment（FMA） and mended Barthel assessment, SF--36 assessment, the patients situation was assessed in the first day when the patients hospitalized and the day after 6 weeks treatment. Results：The treatment effect on the treatment group exceeded the control group （P〈 0.05）. Conclusion：Body self--feeling strengthening training has favorable effect on patients with paralysis on one side, improved the patient＇s quality of life.