脑卒中偏瘫患者独立轮椅转移技术训练

Training of independent wheelchair transfer technique among stroke patients with hemiplegia

目的探讨独立轮椅转移技术在脑卒中偏瘫患者康复中的应用效果。方法对72例脑卒中偏瘫患者实施轮椅转移的康复训练,66例完成8周训练。其中对照组31例实施常规训练方法;观察组35例实施独立轮椅转移技术干预。于干预前,干预4周、8周后分别采用Barthel指数、脑卒中自我效能感量表及徒手肌力评定法评价患者的训练效果。结果两组Barthel指数、脑卒中自我效能感评分及肌力等级比较、时间效应及交互效应差异有统计学意义(均P<0.05)。结论独立轮椅转移技术训练,能有效提高脑卒中偏瘫患者日常生活能力和自我效能感,改善肌力,促进患者康复。

Objective To investigate the effect of applying independent wheelchair transfer technique to stroke patients with hemiplegia.Methods A total of 72 stroke patients with hemiplegia were subjected to wheelchair transfer training,and 66 of them(31 in the control group,and 35 in the intervention group)completed 8-week training.The control group received conventional wheelchair transfer training,while the intervention group received independent wheelchair transfer training.The Barthel Index,Stroke Self-efficacy Questionnaire(SSEQ)and unarmed muscle strength test(MMT)were used to measure the patients before the intervention,4 and 8 weeks into the intervention.Results At 8 weeks into the intervention,the Barthel Index scores,stroke self-efficacy scores and muscle strength scores and gradings presented significant group effect,time effect,and group by time effect between the 2 groups(P<0.05 for all).Conclusion Independent wheelchair transfer training,could effectively improve the activity of daily living level,self-efficacy level and muscle strength of stroke patients with hemiplegia,which was helpful to speed up rehabilitation of patients.