《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

单跪立位躯干强化训练对脑卒中Pusher 综合征患者平衡功能的影响①

王海波1，李建军2,3，倪波业1   

  1. 1. 苏州大学附属第一医院康复科，江苏苏州市215006；2. 中国康复研究中心脊柱脊髓外科，北京市100068；3. 首都医科大学康复医学院，北京市100068。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Effects of Single Kneeling Trunk Intensive Training on Balance in Patients with Pusher Syndrome after Stroke

WANG Hai-bo1, LI Jian-jun2,3, NI Bo-ye1   

  1. 1. Department of Rehabilitation, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu 215006, China; 2. Department of Spinal and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing 100068, China; 3. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的探讨单跪立位躯干强化训练对脑卒中Pusher 综合征患者平衡功能的影响。方法2014 年1 月~2016 年2 月，脑卒中Pusher 综合征患者40 例随机等分为观察组和对照组，两组均给予常规的康复训练，观察组在此基础上加用单跪立位躯干强化训练。训练前后采用Berg 平衡量表(BBS)、下肢Fugl-Meyer 评定(FMA)及Sheikh 躯干控制积分进行评定。结果治疗8 周后，两组BBS 评分、下肢FMA评分和Sheikh 躯干控制积分均较治疗前提高(t>1.756, P<0.05)，观察组高于对照组(t>1.827, P<0.05)。结论单跪立位躯干强化训练能有效提高脑卒中Pusher 综合征患者平衡功能。

关键词: 脑卒中, Pusher 综合征, 单跪立位, 躯干强化训练, 平衡, 躯干控制

Abstract: Objective To observe the effect of single kneeling position trunk intensive training on the balance of patients with stroke Pusher syndrome. Methods From January, 2014 to February, 2016, forty patients with stroke Pusher syndrome were randomly divided into observation group and control group equally. They all accepted routine rehabilitation, while the observation group added a trunk intensive training with one knee kneeled. They were assessed with Berg Balance Scale (BBS), Fugl-Meyer Assessment (FMA) of lower limb and Sheikh's Scale of Trunk Control before and after training. Results The scores of BBS, lower limb FMA and trunk control improved in both groups after eight weeks of treatment (t>1.756, P<0.05), and improved more in the observation group than in the control group (t>1.827, P< 0.05). Conclusion Single kneeling trunk intensive training can effectively improve the balance in stroke patients with Pusher syndrome.

Key words: stroke, Pusher syndrome, single kneeling position, trunk intensive training, balance, trunk control