核心肌群训练对脑卒中患者平衡和步行功能的影响研究

Effects of core muscle training on balance and walking function of stroke patients

目的探讨核心肌群训练对脑卒中患者平衡和步行功能的影响。方法选取2019年11月至2020年4月就诊的脑卒中患者100例作为研究对象,根据患者就诊顺序分为对照组和干预组,每组50例。对照组采用常规训练方法,干预组在常规训练基础上采用核心肌群训练,两组患者在治疗前和治疗3周、6周分别采用Berg平衡量表、Holden步行功能分级进行疗效评估。结果治疗前,两组患者的Berg平衡量表、Holden步行功能分级评定得分比较差异均无统计学意义(均P>0.05);治疗3周、6周后,两组患者Berg平衡量表、Holden步行功能评分干预组均明显好于对照组(均P<0.05)。结论采用核心肌群训练可以提高脑卒中患者维持姿势的能力,改善患者的平衡功能,提高患者的步行能力。

Objective To explore the effect of core muscle training on the balance and walking function of stroke patients.Methods 100 stroke patients who were treated in our hospital from November 2019 to April 2020 were selected as the research objects.According to the order of patients'treatment,they were divided into control group and intervention group,50 cases in each group.The control group was given the conventional training method,and the intervention group was given core muscle training on the basis of routine training.Before treatment,3 weeks and 6 weeks after treatment,Berg Balance Scale(BBS)and functional ambulation classification(FAC)were used to evaluate the curative effect of the two groups.Results Before treatment,there were no statistically significant differences in the scores of BBS and FAC between the two groups(all P>0.05);after 3 weeks and 6 weeks of treatment,the scores of BBS and FAC in the intervention group were significantly better than those in the control group(all P<0.05).Conclusion Core muscle training can improve the ability of posture maintenance,balance function,and walking ability of stroke patients.