姿势与核心稳定训练对脑卒中后肢体偏瘫患者平衡能力的影响

Effect of Posture and Core Stability Training on Balance Ability in Patients with Limb Hemiplegia After Stroke

目的探讨姿势与核心稳定训练对脑卒中后肢体偏瘫患者平衡能力的影响。方法选取2022年8月—2024年1月徐州市邳州市东大医院收治的96例脑卒中后肢体偏瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,各48例。对照组采用常规康复训练干预,观察组在对照组基础上采用姿势与核心稳定训练干预。比较两组的平衡能力、运动功能及步行能力。结果干预后,观察组Berg平衡量表及Fugl-Meyer运动功能量表上、下肢评分分别为(44.25±6.02)分、(54.81±5.42)分、(24.85±2.64)分,均高于对照组的(39.64±5.85)分、(48.27±5.26)分、(21.47±2.58)分,组间差异有统计学意义(P<0.05);观察组计时站立行走测试及10 m步行检查时间分别为(20.19±3.74)s、(22.89±3.76)s,均短于对照组的(23.57±4.06)s、(25.64±4.28)s,组间差异有统计学意义(P<0.05)。结论对脑卒中后肢体偏瘫以姿势与核心稳定训练干预有利于提升患者平衡能力与运动功能,改善其步行能力。

Objective To investigate the effect of posture and core stability training on balance ability in patients with limb hemiplegia after stroke.Methods A total of 96 patients with hemiplegia after stroke admitted to Xuzhou City Pizhou Dongda Hospital from August 2022 to January 2024 were selected as the research objects,they were divided into a control group and an observation group according to the random number table method,with 48 cases in each group.The control group was given routine rehabilitation training,and the observation group was given posture and core stability training on the basis of the control group.The balance ability,motor function and walking ability were compared between the two groups.Results After intervention,the upper and lower limb scores of Berg balance Scale and Fugl-Meyer motor function Scale in the observation group were(44.25±6.02)points,(54.81±5.42)points and(24.85±2.64)points,respectively,which were higher than(39.64±5.85)points,(48.27±5.26)points and(21.47±2.58)points of the control group,the differences between the groups were statistically significant(P<0.05);the time of standing and walking test and 10-m walking examination in the observation group were(20.19±3.74)s and(22.89±3.76)s,respectively,which were shorter than(23.57±4.06)s and(25.64±4.28)s in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion The intervention of posture and core stability training is beneficial to improve the balance ability and motor function of patients with Limb hemiplegia after stroke,and improve their walking ability.