平衡训练在改善偏瘫患者步态中的应用

Application of Balance Training in Improving the Gait of Hemiplegic Patients

目的:探讨平衡训练在脑卒中后偏瘫患者步态中的作用。方法:文献资料法、实验法。选取2022年7—12月到河北优抚医院中康复科住院的脑卒中患者30例,将研究对象按照是否进行平衡训练分为观察组和对照组,各15人。结果和结论:治疗前后采用Berg平衡量表、改良Barthel指数以及RLA八分法来进行平衡和步态的评定。治疗前两组的Berg功能评分、Barthel指数无显著性差异(P>0.05);在治疗5周后,排除其他非治疗因素对研究的干扰,观察组的Berg平衡量表评分较治疗前有明显提高,且观察组的平衡功能相比于对照组进步更加显著,对步态的改善也更加明显。由此说明,平衡训练可以改善偏瘫患者的异常步态。

Objective:To explore the effect of balance training on the gait of hemiplegia patients after stroke.Methods:Literature and experiment methods were used,a total of 30 stroke patients who were hospitalized in the Rehabilitation Department of Hebei Special Care Hospital from July 2022 to December 2022 were selected,and research objects were divided into the observation group and the control group,with 15 in each group,according to whether they received balance training or not.Results and Conclusion:The Berg balance scale,modified Barthel index and RLA eight-point method were used to evaluate balance and gaits before and after treatment.There were no significant differences in Berg function scores and Barthel indexes between the two groups before treatment(P>0.05).After 5 weeks of treatment,excluding the interference of other non-therapeutic factors in the study,the score of the Berg balance scale of the observation group was significantly improved than that before treatment,the balance function of the observation group was more significantly improved than that of the control group,and the gait was also improved more significantly,which indicates that balance training could improve the abnormal gait of hemiplegia patients.