膝关节控制训练在脑梗死后偏瘫患者中的应用效果观察

Observation on the Application Effect of Knee Joint Control Training in Patients with Hemiplegia After Cerebral Infarction

目的探讨膝关节控制训练在脑梗死后偏瘫患者中的应用效果。方法86例脑梗死后偏瘫患者随机分为对照组(n=43)和观察组(n=43)。对照组采用常规康复训练,观察组在对照组基础上采用膝关节控制训练,均干预6个月。比较两组干预前后的起立-行走计时测试(TUGT)、最大步行速度(MWS)、平衡能力[Berg平衡量表(BBS)评分]及运动功能[Fugl-Meyer运动功能(FMA)评分]。结果干预后,两组的TUGT均短于干预前,MWS均高于干预前,且观察组的TUGT短于对照组,MWS高于对照组(P<0.05)。干预后,两组的BBS评分、FMA评分均高于干预前,且观察组的BBS评分、FMA评分均高于对照组(P<0.05)。结论膝关节控制训练应用于脑梗死后偏瘫患者中能够有效恢复其平衡能力和步行能力,提高其运动功能。

Objective To explore the application effect of knee joint control training in patients with hemiplegia after cerebral infarction.Methods 86 patients with hemiplegia after cerebral infarction were randomly divided into the control group(n=43)and the observation group(n=43).The control group received routine rehabilitation training,and the observation group received knee joint control training on the basis of the control group.Both groups were intervened for 6 months.The timed up and go test(TUGT),maximum walking speed(MWS),balance ability[Berg balance scale(BBS)score]and motor function[Fugl-Meyer assessment scale(FMA)score]before and after the intervention were compared between the two groups.Results After intervention,the TUGT of the two groups were shorter than those before intervention,and the MWS were higher than those before intervention;The TUGT of the observation group was shorter than that of the control group,and the MWS was higher than that of the control group(P<0.05).After intervention,the BBS and FMA scores of the two groups were higher than those before intervention,and the BBS and FMA scores of the observation group were higher than those of the control group(P<0.05).Conclusions Knee joint control training applied in patients with hemiplegia after cerebral infarction can effectively restore balance ability and walking ability,and improve motor function of patients.