改良康复治疗改善脑卒中患者平衡功能的效果

Efficacy of modified rehabilitation therapy in improving balance function of patients with brain stroke

目的观察改良康复治疗方法对脑卒中患者平衡功能的影响。方法将44例脑卒中患者随机均分为两组,分别采用改良康复训练(试验组)和常规传统康复训练(对照组)。于康复前、康复2周及康复4周应用Fugl-Meyer平衡量表评定平衡功能,并比较平衡功能达到高一级别所需时间。结果试验组与对照组康复后Fugl-Meyer分值均优于康复前(P<0.05)。试验组康复后Fugl-Meyer分值高于对照组(P<0.05)。试验组无坐位平衡到坐位平衡1级、坐位平衡1级到2级、无立位平衡到立位平衡1级时间均短于对照组(P<0.05)。结论与常规康复训练相比,改良康复治疗方法更能有效提高脑卒中患者的平衡功能。

Objective To observe the efficacy of modified rehabilitation therapy in improving the balance function of the patients with brain stroke.Methods Forty-four patients with brain stroke were randomly and equally divided into two groups,who were treated with modified rehabilitation therapy（group A）or with conventional rehabilitation training（group B）.Fugl-Meyer balance function rating scale was used to assess the balance function before treatment and in the 2 nd and 4 th week during treatment.The time required for the balance function grade to be elevated to the higher grade was compared between two groups.Results Compared to before,the scores of Fugl-Meyer balance function rating scale after treatment were higher in both groups（P〈0.05）,which were higher in group A than those in group B（P〈0.05）.The times required for the balance function from no seat balance to seat balance one-grade,from seat balance one-grade to seat balance two-grade,and from standing balance one-grade to standing balance two-grade were shorter in group A than those in group B（P〈0.05）.Conclusion Compared with conventional rehabilitation training,modified rehabilitation therapy is more effective in improving the balance function of the patients with brain stroke.