强化重心转移训练对脑卒中后偏侧空间忽略患者的影响

Effects of Rehabilitation of Enhancing Gravity Transform on Patients with Unilateral Spatial Neglect after Stroke

目的：探讨强化重心转移康复训练对脑卒中后偏侧空间忽略患者，忽略程度，平衡功能及生活质量的影响。方法：选取2012年10月-2014年11月住院康复患者68例，均为脑卒中伴偏侧空间忽略（Unilateral spatial neglect USN）患者，随机分成强化组和对照组2组，2组均给予常规药物和康复训练。强化组在常规康治疗基础上，增加强化重心转移训练内容。分别于治疗前及治疗后4周应用Berg平衡量表（BBS）及改良Barthel指数（MBI）评估2组患者的平衡功能和日常生活活动能力（activities of daily living ADL）。应用线段等分试验（1ine-bisection test），线段删除试验（1ine cross-out test），画钟试验（clock drawing test）评估4周后2组USN改善情况。结果：治疗后2组的BBS，MBI以及线段等分试验，线段删除试验，画钟试验较治疗前均有明显改善（P〈0．01），治疗后2组问比较存在差异（P〈0．05）。结论：强化重心转移训练可以明显改善脑卒中后偏侧忽略患者的忽略程度，平衡功能以及ADL。

Objective： To investigate the effects of rehabilitation of enhancing gravity transform on patients with Unilateral spatial neg- lect after stroke. Methods ： During October 2012 and November 2014,68 patients with unilateral spatial neglect （USN） after stroke were chosen and randomly divided into 2 groups （ treatment group and control group ）. Patients in both group were given Neology treatment , re- habilitation therapy, and other necessary treatment. The patients in treatment group were treated with enhancing gravity transform training ~ All patients were assessed by Berg balance scale （BBS） for balance and modified barthel index （MBI） for activities of daily living （ADL） before and 4weeks later, the difference of USN between 2groups were assessed by line - bisection test, line cross - out test and clock drawing test. Results： ： After treatment all assessments ,including BBS, MBI, line - bisection test, line cross - out test and clock drawing test ,were improved （ P 〈 0.01 ）, but treatment group higher （ P 〈 0.05 ）. Conclusion： Rehabilitation therapy of enhancing gravity transform is beneficial to improving the balancing capability , ADL and USN of patients after stroke.