太极拳训练在脑卒中合并2型糖尿病患者中的应用

Effects of Tai Ji training in stroke patients with type 2 diabetes

目的探讨太极拳在脑卒中合并2型糖尿病患者中的应用效果。方法采用便利抽样法,选取2019年10月—2020年12月驻马店市中心医院收治的76例脑卒中合并2型糖尿病患者,采用随机数字表法将其分为对照组与观察组各38例。对照组予以常规康复训练,观察组在常规康复训练基础上给予太极拳训练。比较两组干预前后的躯干功能(TIS)、平衡功能(BBS)、运动功能(FMA)、Holden步行功能分级(FAC)、三维步态时空与时相参数(步速、步频、跨步长比率)。结果干预后观察组TIS评分、BBS评分、FMA评分、FAC分级、步速、步频、跨步长比率均高于对照组,差异均有统计学意义(P<0.05)。结论太极拳训练可改善脑卒中合并2型糖尿病患者的肢体平衡和运动能力,提升其躯干功能和步行能力。

Objective To explore the effect of Tai Ji training in stroke patients with type 2 diabetes.Methods From October 2019 to December 2020,76 stroke patients with type 2 diabetes admitted to Zhumadian Central Hospital were selected by convenience sampling.The patients were randomly divided into control group and observation group with 38 cases each.The control group received routine rehabilitation training,while the observation group carried out Tai Ji training on the basis of routine rehabilitation training.The scores of Trunk Impairment Scale(TIS),Berg Balance Scale(BBS),Fugl-Meyer Assessment of Motor Function(FMA),Functional Ambulation Classification(FAC),three-dimensional gait space-time and phase parameters(gait speed,gait frequency,stride length ratio)were compared between the two groups before and after the intervention.Results After intervention,the TIS score,BBS score,FMA score,FAC grade,gait speed,gait frequency,stride length ratio in the observation group were higher than those in the control group,with statistical differences(P<0.05).Conclusions Tai Ji training can improve the limb balance and motor ability of stroke patients with type 2 diabetes,and enhance their trunk function and walking ability.