悬吊下躯干控制训练对脑卒中后遗症期运动功能的康复作用

Rehabilitation effect of trunk control training under suspension on motor function of stroke patients in sequela period

目的探讨两种躯干控制训练方法对脑卒中后遗症期运动功能的康复作用。方法共42例脑卒中患者随机分为对照组和观察组,对照组采用传统躯干控制训练,观察组采用悬吊下躯干控制训练,两组患者均接受其他常规康复训练。分别于治疗前和治疗后20 d采用躯干控制能力测验(TCT)、功能性步行分级量表(FAC)、Berg平衡量表(BBS)和10 m最大步行速度(10 m MWS)评价运动功能。结果治疗后两组TCT评分(P=0.000)、FAC评分(P=0.000)、BBS评分(P=0.000)和10 m MWS评分(P=0.000)均高于治疗前,观察组TCT评分(P=0.000)、FAC评分(P=0.002)、BBS评分(P=0.000)和10 m MWS评分(P=0.000)亦高于对照组。结论悬吊下躯干控制训练可以有效提高脑卒中后遗症期运动功能。

Objective To study the effect of two trunk control trainings on motor function recovery of stroke patients in sequela period. Methods A total of 42 patients were randomly divided into control group （N = 21） and observation group （N = 21）. The control group was treated by traditional trunk control training, and the observation group was treated by trunk control training using suspension technology. Both groups all received other conventional rehabilitation treatment. All patients received Trunk Control Test （TCT）, Functional Ambulation Category Scale （FAC）, Berg Balance Scale （BBS） and 10 m Maximum Walking Speed （10 m MWS） before and 20 d after treatment. Results After two courses of treatment, the scores of TCT （P = 0.000）, FAC （P = 0.000）, BBS （P = 0.000） and 10 m MWS （P = 0.000） were significantly improved in both groups. The scores of TCT （P = 0.000）, FAC （P = 0.002）, BBS （P = 0.000） and 10 m MWS （P = 0.000） after treatment in observation group were all significantly higher than those in control group. Conclusions The method of trunk control training under suspension can effectively improve the motor function of stroke patients in sequela period.