太极步法辅助常规康复训练对脑卒中恢复期偏瘫患者肢体平衡障碍的影响

Effect of Taichi footwork assisted routine rehabilitation training on the influence of limb balance disorder of patients with hemiparesis after stroke in the recovery period

目的评价太极步法辅助常规康复训练对脑卒中恢复期偏瘫患者肢体平衡障碍的影响。方法选择本院2017年3月-2018年5月符合入选标准的脑卒中恢复期偏瘫患者60例,采用随机数字表法分为2组,每组30例。常规康复组采用常规康复训练方式,太极步法组在常规康复组基础上配合习练太极步法。2组均连续治疗4周。采用Berg平衡量表(Berg Balnce Scaie,BBS)评价患者的平衡能力,采用Holden步行功能分级量表(Holden Walking Ability Classification,HWAC)评价下肢步行能力,采用Fugl-Meyer运动功能评分量表(Fugl-Meyer Motor Scale,FMS)评价肢体运动功能。结果治疗后,太极步法组BBS评分[(44.4±7.9)分比(38.7±9.9)分,t=4.885]高于常规康复组(P<0.01),HWAC分级[(3.6±1.0)级比(2.7±1.0)级,t=5.152]高于常规康复组(P<0.01),FMS评分[(12.3±1.4)分比(10.4±1.4)分,t=4.785]高于常规康复组(P<0.01)。结论太极步法辅助常规康复训练可改善脑卒中恢复期偏瘫患者的步行能力,促进肢体功能的恢复。

Objective To evaluate the effect of Taichi footwork assisted routine rehabilitation training on the influence of limb balance disorder in patients with hemiparesis after strokein the recovery period.Methods A total of 60 patients with hemiparesis after stroke in our hospital from March 2017 to May 2018,who met the selection criteria,were divided into 2 groups by random number table method,30 in each group.The conventional rehabilitation group took the conventional rehabilitation training method,and the Taichi footwork group took Taichi footwork training method based on conventional rehabilitation method.Both groups were treated for 4 weeks.The Berg Balance Scale(BBS)was used to evaluate the patient’s balance ability,the Holden Walking Aability Classification(HWAC)was used to evaluate the lower limb walking ability,and the Fugl-Meyer Motor Function Rating Scale(FMS)was used to assess the limb function.Results After the treatment,the BBS score(44.4±7.9 vs.38.7±9.9,t=4.885),the HWAC grade(3.6±1.0 grade vs.2.7±1.0 grade,t=5.152)and FMS score(12.3±1.4 vs.10.4±1.4,t=4.785)of the Taichi footwork group were significantly higher than those of the conventional rehabilitation group(Ps<0.01).Conclusions Taichi footwork assisted conventional rehabilitation training can improve the walking ability of patients with hemiparesis after stroke in the recovery period,which helps the patientsregain limb function.