健侧主动控制训练在脑卒中后倾斜综合征中的应用效果

Application effect of contralateral active control training in post-stroke pusher syndrome

目的探讨健侧主动控制训练在脑卒中后倾斜综合征(PS)中的应用效果。方法选取2019年10月至2021年8月中国医科大学航空总医院康复医学科收治的58例脑卒中患者作为研究对象,采用随机数字表法分为对照组和治疗组,其中治疗组脱落3例,对照组脱落3例。两组各26例完成研究。对照组采用常规康复训练方法,治疗组采用常规康复训练结合健侧肢体的主动控制训练的方法。两组均治疗6周。采用Burke倾斜量表(BLS)、Berg平衡量表(BBS)、躯干损伤量表(TIS)评估两组患者平衡及躯干控制功能的变化。结果两组患者治疗6周后的BLS评分低于治疗前,BBS、TIS评分均高于治疗前,且治疗组患者治疗6周后的BLS低于对照组,BBS、TIS评分高于对照组,差异有统计学意义(P<0.05);两组患者治疗6周后的静态坐姿平衡(TIS-S)、动态坐姿平衡(TIS-D)和协调(TIS-C)评分高于治疗前,且治疗组患者治疗6周后的TIS-S、TIS-D、TIS-C评分高于对照组,差异有统计学意义(P<0.05)。结论健侧主动控制训练可明显改善脑卒中后PS患者的平衡及躯干控制功能,且躯干功能改善较为全面。

Objective To explore the application effect of contralateral active control training in post-stroke pusher syndrome(PS).Methods A total of 58 patients with stroke treated in the Department of Rehabilitation Medicine of Aviation General Hospital of China Medical University from October 2019 to August 2021 were selected as the research subjects,according to the random number table method,they were divided into the control group and the treatment group,in which 3 cases fell off in the treatment group and 3 cases fell off in the control group,26 cases in each group completed the study.The control group was treated with routine rehabilitation training,and the treatment group was treated with routine rehabilitation training combined with contralateral active control training.Both groups were treated for 6 weeks.Burke lateropulsion scale(BLS),Berg balance scale(BBS)and Trunk impairment scale(TIS)were used to evaluate the changes of balance and trunk control function in the two groups.Results The BLS scores of patients in the two groups after 6 weeks of treatment were lower than those before treatment,and the BBS and TIS scores of patients in the two groups after 6 weeks of treatment were higher than those before treatment,and the BLS of the treatment group after 6 weeks of treatment was lower than that of the control group,and the scores of BBS and TIS of the treatment group after 6 weeks of treatment were higher than that of the control group,the differences were statistically significant(P<0.05).The scores of Trunk impairment scale static(TIS-S),Trunk impairment scale dynamic(TIS-D)and Trunk impairment scale coordination(TIS-C)in the two groups after 6 weeks of treatment were higher than those before treatment,and the scores of TIS-S,TIS-D and TIS-C in the treatment group after 6 weeks of treatment were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion Contralateral active control training can significantly improve the balance and trunk control function of PS patients after stroke,and the improvement of trunk function is more comprehensive.