强化蹲-起训练对脑卒中偏瘫患者平衡能力及步态对称性的影响

Effects of intensive squat-rise training on balance ability and gait symmetry in stroke patients with hemiplegia

目的:探索强化蹲-起训练对脑卒中偏瘫患者平衡能力及步态对称性的影响。方法:选取2020年4月至2022年5月收治的80例脑卒中偏瘫患者,按随机数字表法分为对照组和观察组,各40例。对照组中男性23例,女性17例;平均年龄(64.58±5.43)岁;左侧偏瘫25例,右侧偏瘫15例。观察组中男性22例,女性18例;平均年龄(64.55±5.41)岁。对对照组患者采取常规康复训练,观察组患者是在对照组的基础上进行强化蹲-起训练。比较两组患者干预前后的平衡能力、步态对称性以及日常生活活动能力。结果:干预后,两组Berg平衡量表评分均高于干预前,且观察组高于对照组高,差异均有统计学意义(均P<0.05);两组步长偏差、健患侧支撑比值、患健侧摆动比值均低于干预前,且观察组低于对照组低,差异均有统计学意义(均P<0.05);两组改良Barthel指数均高于干预前,且观察组高于对照组,差异均有统计学意义(均P<0.05)。结论:强化蹲-起训练可提高脑卒中偏瘫患者的平衡能力,改善患者的步态对称性,提高患者的日常生活活动能力。

Objective:To explore the effects of intensive squat-rise training on balance ability and gait symmetry in stroke patients with hemiplegia.Methods:A total of 80 stroke patients with hemiplegia admitted to the hospital from April 2020 to May 2022 were selected and divided into a control group and an observation group with 40 cases in each group according to random number table method.In the control group there were 23 males and 17 females;the average age was(64.58±5.43)years;there were 25 cases of left hemiplegia and 15 cases of right hemiplegia.In the observation group there were 22 males and 18 females;the average age was(64.55±5.41)years.The patients in the control group received routine rehabilitation training,and the patients in the observation group received intensive squat-rise training on the basis of the control group.Balance ability,gait symmetry and activities of daily living were compared between the two groups before and after intervention.Results:After intervention,the score of Berg balance scale in both groups was higher than that before intervention,the observation group was higher than the control group,and the difference was statistically significant(P<0.05);the step deviation,the support ratio between the healthy and the injured side and the swinging ratio between the healthy and the injured side were lower in both groups than those before intervention,the observation group was lower than the control group,and the difference was statistically significant(P<0.05);the modified Barthel index in the two groups was higher than that before intervention,the observation group was higher than the control group,and the difference was statistically significant(P<0.05).Conclusion:Intensive squat-rise training can improve balance ability,gait symmetry and daily living ability of stroke patients with hemiplegia.