Bobath球训练对脑卒中偏瘫患者平衡和步行能力的影响

Effect of Bobath ball training on balance and walking ability of patients with stroke-induced hemiplegia

目的:探讨用Bobath球训练偏瘫患者躯干、骨盆及下肢,对其改善运动功能、平衡、日常生活活动能力及步行能力的影响。方法:将48例偏瘫患者随机分为对照组和观察组各24例,2组均进行常规康复治疗,而观察组则在常规训练基础上增加Bobath球训练患者的躯干、骨盆及下肢。治疗前后分别采用简化Fugle-mayer评定法(FMA)、Berg平衡量表(BBS)、10m步行时间(10MWT)、6min内步行距离测定(6MWT)、Holden步行功能评定(FAC),以及改良Barthel指数(MBI)进行评定。结果:治疗4周后,2组患者FMA、BBS、MBI、FAC与6MWT评分均较治疗前明显提高(P<0.01),且观察组更高于对照组(P<0.05),2组10MWT较治疗前明显减少(P<0.01),且观察组更低于对照组(P<0.05)。结论:在常规康复训练的基础上进行Bobath球训练偏瘫患者,可以改善其运动功能、平衡功能和日常生活活动能力,提高其步行能力。

Objective ：To discusses the effects of Bobath ball training for trunk ,pelvis and lower limbs on balance and walking ability of patients with stroke-induced hemiplegia .Methods ：The 48 patients were randomized into ob-servation group and control group （n=24 each） .All patients received standard physiotherapy ,and the patients in ob-servation group were given the Bobath ball training for the trunk ,pelvis and lower limbs additionally .Patients was respectively evaluated using Simplified Fugle-mayer assessment （FMA） ,the Berg Balance Scale （BBS） ,10-m walk-ing time test （10MWT） ,6-min walking distance test （6MWT） ,Holden walking function classification （FAC） ,and modified Barthel index （MBI） .Results ：The FMA ,BBS ,MBI ,FAC ,10MWT and 6MWT scores in two groups were all increased after treatment for 4 weeks as compared with those before treatment （P〈0 .01） ,more significantly in observation group than in control group （P〈0 .05） .Conclusion：The Bobath ball training on the basis of convention-al rehabilitation training in patients with hemiplegia can improve the motor function ,balance function and activities of daily living ,and w alking ability .