平衡训练对脑卒中偏瘫患者下肢运动能力的影响

Effects of balance training on lower limbs motor function of stroke patients with hemiplegia

目的:探讨平衡训练对脑卒中偏瘫患者下肢运动能力的影响。方法:脑卒中偏瘫患者61例,将其随机分为观察组31例和对照组30例。2组均给予常规康复训练,观察组在此基础上加用Biodex平衡功能分析训练仪进行训练;训练前后进行功能性步行量表(FAC)、下肢运动功能评定量表(FMA)、日常生活活动能力Barthel指数(BI)及Berg平衡量表(BBS)评定。结果:治疗5周后,2组FMA、BI、BBS及FAC评分均较治疗前明显提高(P<0.01,0.05),且观察组更高于对照组(P<0.05)。结论:平衡训练结合常规康复治疗对脑卒中偏瘫患者下肢运动能力的恢复较常规康复治疗效果更好。

Objective： To investigate the effects of balance training equipment on lower limbs motor function of hemiplegia stroke patients. Methods：Sixty-one cerebral infarction patients were randomly assigned into observation group （31 cases） and control group （30 cases）. Both two groups received normal rehabilitation therapy. The patients in observation group received Biodex balance equipment training additionally. Clinical assessments were performed before and after treatment,including Functional Ambulation Category （FAC） ,Fugl-Meyer Assessment scale（FMA）, Barthel Index（BI）, Berg Balance scale （BBS）. Results：After treatment for 5 weeks, FMA, BI, BBS and FAC scores in both groups were increased than pretreatment （P〈0.01,0.05）, and those in observation group were obviously high- er than in control group （P〈0.05）. Conclusion： Balance training equipment combined with normal rehabilitation therapy was more effective than normal rehabilitation therapy in improving lower limbs motor function of hemiplegia stroke patients.