自适应平衡康复训练装置对老年脑卒中患者平衡功能及害怕跌倒的影响

Effect of adaptive balance rehabilitation training device on balance function and fear of falling in senile stroke patients

目的观察自适应平衡康复训练装置对老年脑卒中患者平衡功能及害怕跌倒的影响,探讨其改善平衡功能,降低害怕跌倒,提高移动能力的作用。方法选取2018年3月至2020年10月在大连康复疗养中心接受康复治疗的老年脑卒中患者46例,采用随机数字表分为对照组和实验组,每组各23例。对照组给予常规康复训练,实验组在常规康复训练基础上,给予自行研制的自适应平衡康复训练装置治疗。于治疗前(M0)、治疗1个月(M1),治疗3个月(M3)后分别采用Berg平衡量表(BBS)、中文修订版跌倒效能量表(MFES)及起立-行走测试(TUGT)对两组患者进行疗效评定。结果在M0、M1两组各项评分比较,均差异无统计学意义(P>0.05)。M3,实验组BBS评分(39.48±2.35)分、MFES评分(87.47±11.67)分、TUGT计时(21.06±1.80)s较对照组BBS评分(38.09±1.13)分、MFES评分(80.76±10.45)分、TUGT计时(22.82±2.10)s均有改善,差异有统计学意义(P<0.05)。结论自适应平衡康复训练装置能够有效改善老年脑卒中后平衡功能,降低害怕跌倒,提高移动能力。

Objective To observe the effect of adaptive balance rehabilitation training device on balance function and fear of falling in senile stroke patients,and to explore its effect on improving balance function,reducing fear of falling and improving mobility.Methods A total of 46 senile stroke patients who received rehabilitation treatment in Dalian Rehabilitation and Nursing Center from March 2018 to October 2020 were selected and divided into control group and experimental group by random number table,with 23 cases in each group.The control group was given routine rehabilitation training,and the experimental group was given self-developed adaptive balance rehabilitation training device on the basis of routine rehabilitation training.Before treatment(M0),1 month after treatment(M1)and 3 months after treatment(M3),Berg Balance Scale(BBS),Chinese Modified Fall Efficacy Scale(MFES)and Time Up and Go Test(TUGT)were used to evaluate the efficacy of the two groups.Results There were no significant differences in the scores between the two groups during M0 and M1(P>0.05).During M3,BBS score(39.48±2.35),MFES score(87.47±11.67),TUGT timing(21.06±1.80)s in the experimental group were improved compared with BBS score(38.09±1.13),MFES score(80.76±10.45),TUGT timing(22.82±2.10)s in the control group,and the difference was statistically significant(P<0.05).Conclusion The adaptive balance rehabilitation training device can effectively improve the balance function of the elderly after stroke,reduce the fear of falling,and improve mobility.