普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响

doi:10.3969/j.issn.1006-9771.2018.09.017

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (9): 1072-1076.doi: 10.3969/j.issn.1006-9771.2018.09.017

普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响

梁丰¹, 李厥宝¹, 霍文璟¹, 王尊², 程瑞动¹, 张大威¹, 叶祥明¹

1.浙江省人民医院,杭州医学院附属人民医院,浙江杭州市 310014;
2.南京中医药大学,江苏南京市 210029

收稿日期:2018-07-01 修回日期:2018-07-31 出版日期:2018-09-20 发布日期:2018-09-27
通讯作者: 叶祥明。E-mail: yexmdr@126.com
作者简介:梁丰(1990-),男,汉族,江苏徐州市人,硕士,医师,主要研究方向：心脑血管等慢性病康复。通讯作者：叶祥明(1966-),男,汉族,主任医师,教授,主要研究方向：神经及慢性病康复。
基金资助:
国家自然科学基金青年项目(No. 81601965)

Effects of Pilates on Balance, Walking and Motor Function of Lower Limbs in Older Patients after Stroke

LIANG Feng¹, LI Jue-bao¹, HUO Wen-jing¹, WANG Zun², CHENG Rui-dong¹, ZHANG Da-wei¹, YE Xiang-ming¹

1. Zhejiang Provincial People's Hospital, the Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China;
2. Nanjing Traditional Chinese Medicine University, Nanjing, Jiangsu 210029, China

Received:2018-07-01 Revised:2018-07-31 Published:2018-09-20 Online:2018-09-27
Contact: YE Xiang-ming. E-mail: yexmdr@126.com
Supported by:
Supported by National Natural Science Foundation of China (Youth) (No. 81601965)

摘要/Abstract

摘要： 目的探讨普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响。方法 2016年11月至2017年12月,60例老年脑卒中患者分为对照组(n=30)和普拉提组(n=30),两组均进行内科常规治疗及常规康复,普拉提组在此基础上再进行普拉提系列运动训练,共10周。训练前、训练5周和10周后,采用Berg平衡量表(BBS)、10米最大步行速度(MWS)测试、3米计时起立-行走测试(TUGT)及Fugl-Meyer评定量表下肢部分(FMA-LE)进行评定。结果训练10周后,两组BBS评分、MWS、TUGT时间和FMA-LE评分均改善(t>2.122, P<0.05),普拉提组改善更多(t>2.264, P<0.05)。结论较长期普拉提运动可进一步改善老年脑卒中患者平衡功能、步行能力和下肢运动功能。

关键词: 脑卒中, 老年, 普拉提, 平衡, 步行, 下肢

Abstract: Objective To observe the effects of Pilates on balance, walking and lower limbs motor function in older patients after stroke. Methods From November, 2016 to December, 2017, 60 older patients after stroke were divided into control group (n=30) and Pilates group (n=30). The control group received routine medicine and rehabilitation, the Pilates group accepted Pilates training in addition, for ten weeks. They were evaluated with Berg Balance Scale (BBS), 10-metre Maximum Walking Speed (MWS), Timed 'Up and Go' Test (TUGT) and Fugl-Meyer Assessment-Lower Extremity (FMA-LE) before, and five weeks and ten weeks after training.Results The BBS score, MWS, TUGT and FMA-LE score all improved ten weeks after training in both groups (t>2.122, P<0.05), and improved more in the Pilates group than in the control group (t>2.264, P<0.05).Conclusion Pilates can improve the balance, walking and lower limbs motor function in older patients after stroke.

Key words: stroke, aged, Pilates, balance, walking, lower limbs

中图分类号:

R743.2

梁丰, 李厥宝, 霍文璟, 王尊, 程瑞动, 张大威, 叶祥明. 普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响[J]. 《中国康复理论与实践》, 2018, 24(9): 1072-1076.

LIANG Feng, LI Jue-bao, HUO Wen-jing, WANG Zun, CHENG Rui-dong, ZHANG Da-wei, YE Xiang-ming. Effects of Pilates on Balance, Walking and Motor Function of Lower Limbs in Older Patients after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(9): 1072-1076.

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普拉提运动对老年脑卒中患者平衡、步行及下肢功能的影响

Effects of Pilates on Balance, Walking and Motor Function of Lower Limbs in Older Patients after Stroke

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