核心稳定性训练对脑卒中偏瘫患者上肢联合反应的效果

doi:10.3969/j.issn.1006-9771.2016.12.003

Abstract

Abstract: Objective To observe the effect of core stability training on the associated reaction of upper limbs in stroke patients with hemiplegia.Methods From November, 2014 to May, 2016, sixty stroke patients with hemiplegia were randomly divided into control group (n=30) and treatment group (n=30). Both groups accepted routine rehabilitation, while the treatment group received core stability training for 20 minutes during exercise. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS) and Associated Reaction Rating Scale (ARRS) before and 6 weeks after treatment.Results The scores of FMA-UE, FMA-LE, BBS and ARRS improved significantly in both groups after treatment (t>12.158, P<0.001), and improved more in the treatment group than in the control group (t>2.317, P<0.05).Conclusion Core stability training can relieve the associated reaction of upper limb in stroke patients with hemiplegia.

Key words: stroke, hemiplegia, core stability training, associated reaction, motor function

CLC Number:

R743.3

ZHANG Wei-feng, JIANG Dong-lei, MA Yue-wen. Effect of Core Stability Training on Associated Reaction of Upper Limb in Stroke Patients with Hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2016, 22(12): 1375-1374.

References

[1] Lazarus JC. Associated movement in hemiplegia: the effects of force exerted, limb usage and inhibitory training [J]. Arch Phys Med Rehabil, 1992, 73(11): 1044-1049.
[2] Dvir Z, Penturin E, Prop I. The effect of graded effort on the severity of associated reactions in hemiplegic subjects [J]. Clin Rehabil, 1996, 10(2): 155-158.
[3] Kahn Michelle B, Mentiplay Benjamin F, Clark Ross A, et al. Methods of assessing associated reactions of the upper limb in stroke and traumatic brain injury: A systematic review [J]. Brain Inj, 2016, 30(3): 252-266.
[4] Ada L, O'Dwyer N. Do associated reactions in the upper limb after stroke contribute to contracture formation? [J]. Clin Rehabil, 2001, 15(2): 186-194.
[5] Mulley G. Associated reactions in the hemiplegic arm [J]. Scand J Rehabil Med, 1982, 14(3): 117-120.
[6] Brunnstrom S. Associated reactions of the upper extremity in adult patients with hemiplegia; an approach to training [J].Physl Ther Rev, 1956, 36(4): 225-236.
[7] Stephenson R, Edwards S, Freeman J. Associated reactions: their value in clinical practice? [J]. Physiother Res Int, 1998, 3(2): 151-152.
[8] Assunta P, Giovanna C, Catuscia F, et al. Evaluation of upper-limb spasticity after stroke: A clinical and neurophysiologic study [J]. Arch Phys Med Rehabil, 2005, 86(3): 410-415.
[9] 古泽正道,李建军. 康复治疗——新Bobath治疗[M]. 北京:人民军医出版社, 2013: 56-57.
[10] 古泽正道,陈立嘉. 针对脑卒中患者的Bobath治疗方法[J]. 中国康复理论与实践, 2011, 17(9): 805-809.
[11] Schilling Jim F, Murphy Jeff C, Bonney John R, et al. Effect of core strength and endurance training on performance in college students: randomized pilot study [J]. Bodyw Mov Ther, 2013, 17(3): 278-290.
[12] 梁天佳,吴小平,龙耀斌,等. 核心稳定性训练对脑卒中偏瘫患者运动功能的影响[J]. 中华物理医学与康复杂志, 2012, 34(5): 353-356.
[13] 刘烜玮,赵娜娜,肖鹏. 核心肌群训练对脑卒中患者平衡及步行能力的影响[J]. 中国康复, 2012, 27(5): 361-362.
[14] 中华神经科学会,中华神经外科学会. 各类脑血管病诊断要点[J]. 中华神经科杂志, 1996, 29(6): 379-380.
[15] Gladstone DJ, Danells CJ, Black SE. The Fugl-Meyer assessment of motor recover after stroke: A critical review of its measurement properties [J]. Neurorehabil Neural Repair, 2002, 16(3): 223-240.
[16] Ulla-Britt F, Johanna B, Christina B. The reproducibility of Berg Balance Scale and the Single-leg Stance in chronic stroke and the relationship between the two tests [J]. PM R, 2012, 4(3): 165-170.
[17] 毕胜,许云影. 偏瘫上肢联合反应分级量表内部一致性与信度研究[J]. 中国康复医学杂志, 2007, 22(7): 626-627.
[18] Macfarlane A, Turner-Stokes L, De Souza L. The associated reaction rating scale: a clinical tool to measure associated reactions in the hemiplegic upper limb [J]. Clin Rehabil, 2002, 16(7): 726-735.
[19] 徐思维,缪芸,郁嫣嫣,等. 体外冲击波缓解脑卒中后肱二头肌痉挛的效果[J]. 中国康复理论与实践, 2014, 20(12): 1140-1143.
[20] Bhakta BB, O'Connor RJ, Alastair CJ. Associated reactions after stroke: a randomized controlled trial of the effect of Botulinum toxin type A [J]. J Rehabil Med, 2008, 40(1): 36-41.
[21] 刘景隆,郭天龙,吕英,等. A型肉毒素局部注射对脑卒中后痉挛性上肢功能障碍的影响[J]. 中国康复理论与实践, 2012, 18(7): 640-642.
[22] Massion J. Postural control system [J]. Curr Opin Neurobiol, 1994, 4(6): 877-887.
[23] Hodges PW, Richardson CA. Contraction of the abdominal muscles associated with movement of the lower limb [J]. Phys Ther, 1997, 77(2): 132-144.
[24] Dickstein R, Hocherman S, Pillar T, et al. Stroke rehabilitation. Three exercise therapy approaches [J]. Phys Ther, 1986, 66(8): 1233-1238.
[25] 铃木三央,陈晓梅,李晏龙. 脑卒中后遗症患者上肢、手的恢复[J]. 中国康复理论与实践, 2011, 17(9): 818-824.
[26] 李俊,苏俊剑,武琼,等. 核心肌训练对脑卒中偏瘫患者平衡功能的影响[J]. 中华物理医学与康复杂志, 2015, 37(9): 678-679.
[27] Yu SH, Park SD. The effects of core stability strength exercise on muscle activity and trunk impairment scale in stroke patients [J]. J Exerc Rehabil, 2013, 9(3): 362-367.
[28] Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients [J]. Am J Phys Med Rehabil, 2004, 83(2): 81-87.
[29] Carr JH, Shepherd RB. 神经康复:优化运动技能[M]. 王宁华,黄真,译. 北京: 北京大学医学出版社, 2015: 100-101.

Effect of Core Stability Training on Associated Reaction of Upper Limb in Stroke Patients with Hemiplegia

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