目的 观察气阻系统训练与NPT系统训练对脑卒中患者平衡及运动功能的影响。方法 2014年6月至2016年2月,本科脑卒中偏瘫患者44例随机分为对照组(n=22)和实验组(n=22)。对照组采用常规卧位躯干肌训练和坐位气阻训练系统进行训练;实验组利用NPT系统进行训练。治疗前后采用Fugl-Meyer评定量表上肢部分(FMA-UE)、下肢部分(FMA-LE),以及Berg平衡量表(BBS)评定患者运动和平衡功能。结果 两组治疗前FMA-UE评分、FMA-LE评分、BBS评分均无显著性差异(t<0.962, P>0.05),治疗后两组各评分均显著提高(t>12.248, P<0.001),且实验组高于对照组(t>1.972, P<0.05)。结论 NPT系统训练可提高脑卒中偏瘫患者的运动和平衡功能,效果优于气阻系统训练。
Objective To compare the effects of neutral posture training (NPT) and gas resistance training on balance and motor function in stroke patients. Methods From June, 2014 to February, 2016, 44 hemiplegic patients were randomly divided into control group (n=22) and experimental group (n=22). The control group received conventional decubitus trunk muscle training and sitting gas resistance training. The experimental group received NPT. They were assessed with Fugl-Meyer Assessment-Upper Extremities (FMA-UE), Fugl-Meyer Assessment-Lower Extremities (FMA-LE), and Berg Balance Scale (BBS) before and after training. Results There was no significant difference in the scores of FMA-UE, FMA-LE and BBS between two groups (t<0.962, P>0.05). The scores significantly increased after training in both groups (t>12.248, P<0.001), and were higher in the experimental group than in the control group (t>1.972, P<0.05). Conclusion The NPT could improve the motor and balance function of stroke patients, rather than gas resistance training.
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