功能性踝关节康复训练对脑卒中患者平衡能力及姿势稳定性的影响

Impact of Functional Ankle Rehabilitation Training on Balance Ability and Posture Stability in Patients with Stroke

目的探讨功能性踝关节康复训练对脑卒中患者平衡能力及姿势稳定性的影响。方法选取2016-2017年东南大学附属中大医院江北院区康复医学科收治的脑卒中患者100例,采用随机数字表法分为对照组和观察组,每组50例。对照组患者给予常规康复训练,观察组患者给予常规康复训练+功能性踝关节康复训练;两组患者均连续训练8周。比较两组患者训练前后Berg平衡量表(BBS)评分、"起立-行走"计时测试(TUGT)时间和闭眼站立于普通脚垫(NC)及泡沫脚垫(PC)上的稳定性系数(ST)和体质量分布指数(WDI)。结果两组患者训练前BBS评分、TUGT时间、NC ST及WDI、PC ST及WDI比较,差异无统计学意义(P>0.05);训练后观察组患者BBS评分高于对照组,TUGT时间短于对照组,NC ST及WDI、PC ST及WDI低于对照组(P<0.05)。结论功能性踝关节康复训练可有效改善脑卒中患者平衡能力,提高患者姿势稳定性,利于患者运动功能恢复。

Objective To investigate the impact of functional ankle rehabilitation training on balance ability and posture stability in patients with stroke. Methods From 2016 to 2017,a total of 100 patients with stroke were selected in the Department of Rehabilitation Medicine,Jiangbei Branch of Zhongda Hospital Affiliated to Southeast University,and they were divided into control group and observation group according to random number table method,with 50 cases in each group. Patients in control group received conventional rehabilitation training,while patients in observation group received functional ankle rehabilitation training based on conventional rehabilitation training;both groups continuously trained for 8 weeks. Berg Balance Scale(BBS)score,time of Timed "Up and Go" Test(TUGT),stability coefficient(ST)and weight distribution index(WDI)of standing on normal cushion(NC)and foam cushion(PC)with eyes closed were compared between the two groups before and after training. Results No statistically significant difference of BBS score,time of TUGT,ST or WDI of standing on NC or PC with eyes closed was found between the two groups before training(P>0.05);after training,BBS score in observation group was statistically significantly higher than that in control group,time of TUGT in observation group was statistically significantly shorter than that in control group,meanwhile ST and WDI of standing on NC and PC with eyes closed in observation group were statistically significantly lower than those in control group(P<0.05). Conclusion Functional ankle rehabilitation training can effectively improve the balance ability and posture stability in patients with stroke,is helpful to promote the recovery of motor function.