健身气功·八段锦改善脑卒中恢复期患者运动功能的效果分析

Effect of health Qigong Baduanjin on motor function of stroke patients during recovery period

目的:探讨健身气功·八段锦对脑卒中患者上下肢运动功能以及平衡机能的改善效果。方法:80例脑卒中患者随机分为八段锦组、快走组和对照组,8周末,八段锦组24例,快走组21例,对照组19例。三组对象均进行常规康复治疗,八段锦组进行每周5次、每次45分钟的健身气功·八段锦练习;快走组每周至少三天进行快走锻炼,其中每天快走持续时间累计不少于45分钟,不多于90分钟。在实验的3个时间点(干预前、干预4周末、干预8周末),采用Furl-Meyer量表、Pk254平衡功能检测系统对三组患者进行评定。结果:1)干预8周末,八段锦组上肢Furl-Meyer评分与对照组相比,具有显著性差异(P<0.05),与快走组相比,具有非常显著性差异;快走组下肢Furl-Meyer评分显著高于对照组。2)干预8周末,八段锦组TL、X speed、X dev.显著低于对照组,X speed显著低于快走组。结论:健身气功·八段锦能够改善脑卒中患者上肢运动功能以及平衡机能。

Objective： To investigate the effect of Health Qigong Baduanjin on motor function of the upper and lower extremity in stroke patients,as well as the effect on balance function. Methods： 80 stroke patients were randomly divided into Baduanjin group,fast walk group and control group,of which 24 patients in the Baduanjin group,21 in fast walk group and 19 in control group. Objects of the three sets underwent conventional rehabilitation therapy. Moreover,the Baduanjin group exercised Health Qigong Baduanjin five times a week,45 minutes every time. In three experimental time points（ before intervention,4 weeks end,8 weeks end）,and the fast walk group walk three days every week（ not less than 45 minutes every day）. We assessed the three sets of objects though Furl-Meyer scale,Pk254 balance function testing system. Results： 1） At the 8 weeks end,when comparing to control group,we found Furl-Meyer score of upper extremity increased significantly（ P 〈0. 05）. When comparing to fast walk group,we found Furl-Meyer score of upper extremity increased significantly（ P 〈0. 01）. And Furl-Meyer score of lower extremity of the fast group was more higher than the control group＇s（ P 〈0. 05）. 2） At the 8 weeks end,TL,X speed,X dev.was significantly lower than the control group,and X speed was significantly lower than the fast walk group. Conclusion： Health Qigong Baduanjin can improve motor function of upper limb and balance function in stroke patients.