早期躯干控制训练对脑卒中急性期患者平衡功能的康复作用

Effect of early trunk control training on balance function of patients with acute stroke

研究背景躯干作为人体核心部分,在维持身体平衡方面发挥重要作用。躯干控制训练可以改善脑卒中患者平衡功能和移动能力,提高运动功能和日常生活活动能力。本研究旨在探讨早期躯干控制训练对脑卒中急性期患者平衡功能的康复作用。方法共120例缺血性卒中急性期(病程≤14 d)患者随机接受脑卒中常规药物治疗及康复宣教和指导(对照组,60例)以及在此基础上联合躯体控制训练(观察组,60例),分别于训练前和训练2周时采用Fugl-Meyer平衡功能评价量表(FMA-Balance)和改良Rivermead移动指数(MRMI)评价平衡功能。结果 120例患者均顺利完成康复训练,无一例发生不良反应。与训练前相比,训练后两组患者FMA-Balance评分(P=0.000)和MRMI评分(P=0.000)均增加;与对照组相比,训练后观察组患者FMA-Balance评分(P=0.002)和MRMI评分(P=0.002)亦增加。结论脑卒中患者进行早期躯干控制训练可以显著改善平衡功能和移动能力。

Background Trunk is the core part of human body, and plays an important role in maintaining the body balance. Studies show that trunk control training can improve the balance function and mobility ability, and promote motor function and activities of daily living （ADL） of stroke patients. This study aims to investigate the effect of early trunk control training on the recovery of balance function of acute stroke patients. Methods A total of 120 patients with acute isehemic stroke （duration ≤14 d） were randomly divided into 2 groups： control group IN = 60, 39 males and 21 females; age 23-85 years, mean age （63.43 ± 13.61） years; duration 1-13 d, median duration 4.12 （2.30, 6.09） d] and observation group IN = 60, 40 males and 20 females; age 20-84 years, average age （62.55 ± 13.77） years; duration 1-12 d, median duration 4.19 （2.48, 6.30） d]. Control group was given routine drug treatment plus rehabilitation education and guidance, and observation group was given routine drug treatment, rehabilitation education and guidance plus trunk control training. Fugl-Meyer Assessment Scale-Balance （FMA-Balance） and Modified Rivermead Mobility Index （MRMI） were used to evaluate the balance function of patients in both groups before training and after 2- week training. Results All patients finished the rehabilitation training programme without adverse reactions. Compared with before training, the scores of FMA-Balance （P = 0.000） and MRMI （P = 0.000） were significantly increased after 2-week training in both groups. Compared to control group, the scores of FMA-Balance （P = 0.002） and MRMI （P = 0.002） were significantly increased after 2-week training in observation group. Conclusions Early trunk control training can significantly improve the balance function and motor ability of patients with acute stroke.