脊柱推拿微调手法结合核心力量训练对脑卒中患者平衡功能及步行能力的影响

Effect of spinal manipulation trimming techniques and core strength training on the balance function and walking ability of stroke patients

目的探讨脊柱推拿微调手法结合核心力量训练对脑卒中患者平衡功能及步行能力的影响。方法共选取60例脑卒中患者,随机分为对照组(30例)及治疗组(30例)。2组患者均给予常规康复治疗,治疗组辅以脊柱推拿微调手法。分别于治疗前、治疗6周后采用改良的Barthel指数(MBI)、Fugl-Meyer平衡量表(FMB)及功能性步行分级(FAC)进行疗效观察。结果 2组患者治疗后FMB、MBI评分治疗组达3级以上24例,占80.0%,对照组17例,占56.6%,2组比较均有明显改善(P<0.05),FAC评级有统计学意义(P<0.05)。结论在常规康复治疗基础上辅以脊柱推拿微调手法配合核心力量训练可明显改善脑卒中患者的平衡功能、步行能力以及日常生活活动(ADL)能力。

Objective To explore the effect of spinal manipulation trimming techniques and core strength training on the balance function and walking ability of stroke patients. Methods 60 cases of stroke patients were divided randomly into control group and treatment group （30 cases in each group）. Patients in both groups were given conventional rehabilitation therapy. The treatment group was supplemented with spinal manipulation trimming techniques. FMB, MBI and FAC were used for clinical observation before and after the treatment. Results MBI, FMB and FAC rating scores in the two groups were significantly improved with statistical significance （ P 〈 0.05）. These indicators were improved more significantly in treatment group. Conclusion The conventional rehabilitation therapy supplemented with the spinal manipulation trimming techniques and core strength training can obviously improve the balance function, walking ability and ADL of stroke patients.