脑卒中跌倒预防策略性靶向训练技术的研究

Strategic and Targeted Training for Preventing Post-stroke Fall

目的探索认知注意力训练、空间位置觉本体感觉训练和下肢协调性训练对脑卒中患者下肢肌群平衡协调功能的影响。方法 100例脑卒中患者随机分为对照组和观察组各50例。对照组进行常规康复治疗,观察组在此基础上增加认知注意力训练、空间位置觉训练及下肢协调性训练。康复训练前及训练1个月后,通过静态平衡测试仪和Berg平衡功能测试量表进行评定。结果对照组和观察组平衡功能均有改善(P<0.05);与对照组比较,观察组治疗后轨迹长度、轨迹总面积、单位面积轨迹长显著下降(P<0.001),而Berg评分显著上升(P<0.001)。结论空间位置觉训练、认知注意力训练和下肢协调性训练可增加脑卒中患者平衡能力。

Objective To investigate the effects of attention training,spatial and position sensation training and lower limb coordination training on balance and movement coordination of post-stroke patients.Methods 100 stroke patients were randomly divided into control group and observation group with 50 in each.The control group received routine rehabilitation,and the observation group received attention training,spatial and position sensation training and lower limb coordination training additionally.Both groups were assessed with Static Balance Test Equipment and Berg Balance Scale（BBS） before and 1 month after training.Results The balance function improved after training（P〈0.05）.Compared with the control group,the length of path（L）,the covered area（A） and L/A in observation group significantly decreased（P〈0.001）,and the BBS score significantly increased（P〈0.001） after training.Conclusion Strategic and targeted training such as attention training,spatial and position sensation training and coordination training,could improve static balance of post-stroke patients.