八段锦摇头摆尾式联合PNF运动模式对脑卒中患者平衡功能的影响

Effect of Swinging Head and Tail in Eight Pieces of Brocade Combined with Proprioceptive Neuromuscular Facilitation Movement Pattern on Balance Function in Stroke Patients

目的:观察八段锦摇头摆尾式联合PNF颈部运动模式对脑卒中患者平衡功能的影响。方法:筛选60例符合纳入标准的脑卒中患者,采用随机数字表法分为对照组和观察组各30例。对照组患者接受常规康复治疗,观察组在对照组基础上联合运用八段锦摇头摆尾式及PNF颈部运动模式,两组患者均接受治疗3周。分别于治疗前后进行脑卒中患者姿势评定量表(PASS)评分、躯干损伤量表(TIS)评分、Berg平衡量表(BBS)评分评定。结果:治疗3周后,两组PASS评分、TIS评分、BBS评分均较治疗前明显提高(P<0.01),且观察组评分改善较对照组更明显(P<0.05)。TIS评分分项中静态坐位平衡及动态坐位平衡观察组与对照组改善差异有统计学意义(P<0.05),协调分项观察组与对照组改善差异无统计学意义(P>0.05)。结论:八段锦摇头摆尾式与PNF颈部运动模式相结合,可有效提升脑卒中患者姿势控制及平衡功能,较常规治疗展现出更佳的疗效。

Objective:To observe the effect of swinging head and tail in eight pieces of brocade combined with proprioceptive neuromuscular facilitation(PNF)neck movement pattern on balance function in stroke pa⁃tients.Methods:Sixty stroke patients meeting the in⁃clusion criteria were randomly allocated to either a control group or an experimental group,with 30 patients in each.The control group underwent stan⁃dard rehabilitation therapy,while the experimental group received the same therapy supplemented by the swinging head and tail in eight pieces of bro⁃cade exercise and PNF neck movement pattern.Both groups received three weeks of treatment.Balance function was evaluated using the Postural Assess⁃ment Scale for Stroke patients(PASS),Trunk Impairment Scale(TIS),and Berg Balance Scale(BBS)before and after the intervention.Results:After three weeks of treatment,both groups showed significant improve⁃ment in TIS scores,PASS scores,and BBS scores were compared to those before treatment(P<0.01).The ex⁃perimental group demonstrated greater improvement in TIS total scores,PASS scores,and BBS scores bcom⁃pared to the control group(P<0.05).The experimental group showed statistically significant improvement in static and dynamic sitting balance on the TIS subscale compared with control group(P<0.05),while there was no significant difference between the groups in the coordination subscale(P>0.05).Conclusion:The combination of swinging head and tail in eight pieces of brocade exercise with PNF neck movement pattern effectively enhances postural control and balance function in stroke patients,showing superior therapeutic effects compared to conventional treatment.