躯干核心肌群训练对脑卒中偏瘫急性期患者平衡及行走功能的影响

Effects of core muscle groups training on function of balance and walking in patients with acute stage of cerebral apoplexy hemiplegia

目的探讨躯干核心肌群训练对脑卒中偏瘫急性期患者平衡及行走功能的影响。方法选取2013年9月至2015年10月脑卒中偏瘫急性期患者66例,按照随机原则将其分为对照组和实验组,每组33例。两组患者均予以常规药物治疗与康复训练,在此基础上实验组加施躯干核心肌群训练,比较治疗前后两组BBS评分(Berg平衡量表)、MWS评分(10 m最大步行速度)、下肢运动功能FMA评分(简化Fugl-Meyer)。结果治疗后,两组BBS、MWS、FMA评分均较治疗前改善,实验组改善更为显著(P<0.05)。结论脑卒中偏瘫急性期经常规药物治疗、康复训练、躯干核心肌群训练,有利于患者平衡功能、步行能力的改善。

Objective To investigate the effects of trunk core muscle groups training on function of balance and walking in patients with acute stage of cerebral apoplexy hemiplegia. Methods From September 2013 to October 2015,66 patients with acute stage of cerebral apoplexy hemiplegia were selected,and all of them were randomly divided into the control group and experiment group,with 33 cases in each group. The patients of the two groups were treated with routine drug therapy and rehabilitation training. The experiment group was added to the training of core muscles group of trunk. Scores of BBS（ Berg Balance Scale）,MWS（ 10 m maximum walking speed） and FMA scores of lower limb motor function（ simplified Fugl-Meyer） before and after treatment were compared between the two groups. Results After treatment,scores of BBS,MWS and FMA of lower limb motor function in two groups were improved,compared with before treatment,and the improvement of the experiment group was more significant（ P〈0. 05）. Conclusion During the acute phase of stroke hemiplegia,the routine drug therapy and rehabilitation training combined with trunk core muscle group training are beneficial to the improvement of balance function and walking ability.