基于任务为导向的坐-站-坐强化训练对脑卒中偏瘫患者下肢功能的疗效分析

Effect of sitting-standing-sitting training based on task-oriented on the function of the lower-limb in stroke patients

目的探讨基于任务为导向的坐-站-坐强化训练对改善脑卒中后偏瘫患者下肢功能的疗效。方法根据入选标准选取具有一定坐站能力的脑卒中偏瘫患者60例,按照数字表法随机分为实验组和对照组各30例。两组患者均接受脑卒中后偏瘫患者的常规康复治疗,实验组在常规康复治疗的基础上增加基于以任务为导向的坐-站-坐强化训练。两组患者分别在治疗前及治疗后6周进行Fugl-meyer下肢运动功能评定(FMA-L)、改良Barthel指数评分(MBI)、Berg平衡量表(BBS)及起立-行走计时测试(TUGT)。结果两组患者治疗6周后下肢FMA-L评分、MBI得分、BBS得分及TUGT时间均较同组治疗前均有明显改善,差异均有统计学意义(t分别=10.30、21.99、8.61、7.36、8.34、10.50、7.38、4.29,P均<0.05)。实验组在治疗6周后的FMA-L评分、MBI评分、BBS评分及TUGT时间均明显优于对照组治疗后,差异均有统计学意义(t分别=2.49、2.84、2.18、4.45,P均<0.05)。结论基于任务为导向的坐-站-坐强化训练可显著改善脑卒中后偏瘫患者的下肢功能。

Objective To observe the effect of sitting-standing-sitting training based on task-oriented on the function of the lower-limb in stroke patients. Methods Sixty cases of stroke combined with hemiplegia patients who have ability of sitting and standing on some extent were divided into experiment group and control group with 30 patients in each. All patients in both two groups were received the conventional rehabilitation training for the stroke. The patients in experiment group additionally received the sitting-standing-sitting training based on task-oriented. The lower-limb part of Fugl-Meyer assessment （FMA-L）,the modified barthel index （MBI）,the berg balance scale （BBS）,and the timed ＂up and go＂ test （TUGT） were used to evaluate the effectiveness before and after the 6 weeks＇ training. Results After 6 weeks＇ therapy,the scores of FMA-L,MBI,BBS,and TUGT in both group were significantly improved （t=10.30,21.99,8.61,7.36,8.34, 10.50,7.38,4.29,P〈0.05）. The scores of FMA-L,MBI,BBS and TUGT of the experiment group were significantly superior to the control group after 6 weeks＇ training （t=2.49,2.84,2.18,4.45,P〈 0.05）. Conclusion The sitting-standing-sitting training based on task-oriented significantly improves the function of the lower-limb in stroke patients.