八段锦联合肢体功能锻炼对卒中偏瘫患者躯干控制与生活能力的影响

Effects of Baduanjin combined with limb function exercise on trunk control and living ability of stroke patients with hemiplegia

目的探讨八段锦联合肢体功能锻炼对卒中偏瘫患者躯干控制与生活能力的影响。方法选取2019年9月—2021年3月郑州大学第一附属医院收治的符合纳入标准的86例卒中偏瘫患者,按照随机数字表法分为对照组和试验组各43例。对照组采用肢体功能锻炼,试验组采用八段锦联合肢体功能锻炼,干预时间为6周。比较两组干预前后反映躯干控制能力、平衡功能、运动功能、日常生活能力的躯干功能量表(TIS)、Berg平衡量表(BBS)、Fugl-Meyer运动功能评估(FMA)、Barthel指数(BI)评分和腹横肌、多裂肌厚度。结果干预后试验组TIS、BBS、FMA、BI均显著高于对照组[(19.52±2.68)比(16.78±2.51)分、(43.19±5.03)比(35.62±4.89)分、(71.24±7.39)比(59.26±6.35)分、(69.52±6.81)比(62.31±6.46)分],腹横肌、多裂肌厚度均显著大于对照组[(2.76±0.39)比(2.39±0.35)mm、(24.37±1.69)比(23.67±1.45)mm](均P<0.05)。结论八段锦联合肢体功能锻炼能提高卒中偏瘫患者躯干控制能力,改善平衡功能、运动功能,增强日常生活能力。

Objective To explore the effect of Baduanjin combined with limb function exercise on trunk control and living ability of stroke patients with hemiplegia.Methods From September 2019 to March 2021,a total of 86 stroke patients with hemiplegia admitted into the First Affiliated Hospital of Zhengzhou University who met the inclusion criteria were selected and divided into the control group and the experimental group with 43 cases in each group according to the random number table method.The control group was given limb function exercise,while the experimental group was given Baduanjin combined with limb function exercise,and the intervention time was 6 weeks.The Trunk impairment scale(TIS),Berg balance scale(BBS),Fugl-Meyer assessment of motor function(FMA),Barthel index(BI)scores and the thicknesses of transverse abdominis and multifidus muscle were compared between the two groups before and after the intervention.Results After the intervention,the TIS,BBS,FMA and BI scores of the experimental group were significantly higher than that of the control group[(19.52±2.68)vs(16.78±2.51)points,(43.19±5.03)vs(35.62±4.89)points,(71.24±7.39)vs(59.26±6.35)points,(69.52±6.81)vs(62.31±6.46)points],the thickness of transversus abdominis and multifidus were significantly greater than that in the control group[(2.76±0.39)vs(2.39±0.35)mm,(24.37±1.69)vs(23.67±1.45)mm](all P<0.05).Conclusion Baduanjin combined with limb function exercise can improve the trunk control ability,balance function,motor function and daily life ability of stroke patients with hemiplegia.