健侧倾斜训练对脑卒中后Pusher综合征患者平衡功能的效果

doi:10.3969/j.issn.1006-9771.2025.02.012

《中国康复理论与实践》 ›› 2025, Vol. 31 ›› Issue (2): 225-230.doi: 10.3969/j.issn.1006-9771.2025.02.012

健侧倾斜训练对脑卒中后Pusher综合征患者平衡功能的效果

马雯雯, 温嬿峥, 满日帕提·肉孜, 崔博雅, 苏音其梅()

新疆巴音郭楞蒙古自治州人民医院康复医学科，新疆巴音郭楞蒙古自治州 841000

收稿日期:2024-07-16 修回日期:2024-11-06 出版日期:2025-02-25 发布日期:2025-02-25
通讯作者: 苏音其梅，E-mail： 67071313@qq.com
作者简介:马雯雯(1990-)，女，汉族，四川南部县人，硕士，主治医师，主要研究方向：中西医结合神经康复。
基金资助:
巴音郭楞蒙古自治州人民医院院级科研面上基金项目(BY202001)

Effect of healthy side tilt training on balance function in patients with Pusher syndrome after stroke

MA Wenwen, WEN Yanzheng, Manripati ROZI, CUI Boya, Suyinqimei ()

Department of Rehabilitation Medicine, People's Hospital of Bayingolin Mongolian Autonomous Prefecture, Bayingolin Mongolian Autonomous Prefecture, Xinjiang 841000, China

Received:2024-07-16 Revised:2024-11-06 Published:2025-02-25 Online:2025-02-25
Contact: Suyinqimei, E-mail: 67071313@qq.com
Supported by:
Science Foundation of the People's Hospital of Bayingolin Mongolian Autonomous Prefecture (General)(BY202001)

摘要/Abstract

摘要：

目的观察健侧倾斜训练对脑卒中后倾斜综合征(PS)患者平衡功能的效果。

方法选择2021年2月至2023年11月新疆维吾尔自治区巴音郭楞蒙古自治州人民医院40例脑卒中后PS患者，按照入院次序分为对照组(n = 20)和试验组(n = 20)。对照组进行偏瘫肢体综合训练联合坐位平衡训练，试验组接受偏瘫肢体综合训练联合健侧倾斜训练，共3周。治疗前后采用Burke倾斜量表(BLS)、Fugl-Meyer评定量表平衡功能(FMA-B)和改良Barthel指数(MBI)进行评估。

结果治疗后，两组BLS评分显著降低(t > 12.603, P < 0.001)，试验组BLS评分低于对照组(t = -2.559, P < 0.05)；两组FMA-B和MBI评分均显著升高(|Z| > 3.941, |t| > 12.082, P < 0.001)，试验组FMA-B评分高于对照组(Z = -2.538, P < 0.05)。

结论偏瘫肢体综合训练联合健侧倾斜训练可改善脑卒中后PS患者的平衡功能及姿势控制能力，提高患者的日常生活自理能力。

关键词: 脑卒中, 倾斜综合征, 健侧倾斜, 平衡功能

Abstract:

Objective To observe the effect of healthy side tilt training on balance function in patients with Pusher syndrome (PS) after stroke.

Methods From February, 2021 to November, 2023, 40 patients with PS after stroke in People's Hospital of Bayingolin Mongolian Autonomous Prefecture were selected. They were divided into control group (n = 20) and experimental group (n = 20) in accordance with the order of the patients' admission. The control group received comprehensive training for paralyzed limbs combined with sitting balance training, and the experimental group received comprehensive training for paralyzed limbs combined with healthy side tilt training, for three weeks. They were assessed with Burke Lateropulsion Scale (BLS), Fugl-Meyer Assessment-Balance (FMA-B) and modified Barthel Index (MBI) before and after treatment.

Results After treatment, BLS score significantly decreased in both groups (t > 12.603, P < 0.001), and was lower in the experimental group than in the control group (t = -2.559, P < 0.05). The scores of FMA-B and MBI were significantly increased in both groups (|Z| > 3.941, |t| > 12.082, P < 0.001), and FMA-B score was higher in experimental group than in the control group (Z = -2.538, P < 0.05).

Conclusion Comprehensive training for paralyzed limbs combined with healthy side tilt training can effectively improve the balance function and postural control of patients with PS after stroke, and improve the activities of daily living.

Key words: stroke, Pusher syndrome, healthy side tilt, balance function

中图分类号:

R743.3

马雯雯, 温嬿峥, 满日帕提·肉孜, 崔博雅, 苏音其梅. 健侧倾斜训练对脑卒中后Pusher综合征患者平衡功能的效果[J]. 《中国康复理论与实践》, 2025, 31(2): 225-230.

MA Wenwen, WEN Yanzheng, Manripati ROZI, CUI Boya, Suyinqimei . Effect of healthy side tilt training on balance function in patients with Pusher syndrome after stroke[J]. Chinese Journal of Rehabilitation Theory and Practice, 2025, 31(2): 225-230.

图/表 4

表1

表2

两组BLS评分比较"

组别	n	测试	$x - ± s$	t值	P值
对照组	20	前测	11.70±2.51	13.414	< 0.001
		后测	7.75±2.22
试验组	20	前测	13.25±2.88	12.603	< 0.001
		后测	6.00±2.77
治疗前两组均值差			-1.55±3.36	-2.061	0.053
治疗后两组均值差			1.75±3.06	-2.559	0.019

表2

表3

表4

两组MBI评分比较"

组别	n	测试	$x - ± s$	t值	P值
对照组	20	前测	28.75±16.77	-14.658	< 0.001
		后测	39.25±16.40
试验组	20	前测	22.25±15.76	-12.082	< 0.001
		后测	48.50±11.25
治疗前两组均值差			6.50±23.74	1.225	0.236
治疗后两组均值差			-9.25±21.23	-1.949	0.066

表4

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组别	n	性别/n		年龄/岁	病程/周	脑卒中类型/n		偏瘫侧/n
组别	n	男	女	年龄/岁	病程/周	脑梗死	脑出血	左	右
对照组	20	8	12	63.65±10.64	4(2, 10.75)	13	7	16	4
试验组	20	11	9	61.50± 10.06	4(2, 5)	10	10	16	4
t/χ²/Z值		0.902^a		0.771^b	-0.803	0.921^a
P值		0.342		0.445	0.422	0.337		1^d

健侧倾斜训练对脑卒中后Pusher综合征患者平衡功能的效果

Effect of healthy side tilt training on balance function in patients with Pusher syndrome after stroke

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组别	n	测试	M(Q_L, Q_U)	Z值	P值
对照组	20	前测	2.0(0, 5.0)	-3.959	< 0.001
		后测	5.0(3.25, 8.0)
试验组	20	前测	2.0(1.0, 4.0)	-3.941	< 0.001
		后测	7.5(7.0, 9.0)
治疗前两组差值				-0.168	0.869
治疗后两组差值				-2.538	0.011

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