悬吊固定Flexi-bar训练对恢复期脑卒中患者的效果

doi:10.3969/j.issn.1006-9771.2020.09.003

Abstract

Abstract:

Objective To investigate the effects of fixing Flexi-bar training on motor function in chronic stroke patients.
Methods From October, 2018 to June, 2019, 45 chronic stroke patients with hemiplegia were randomly divided into control group (n = 23) and Flexi-bar group (n = 22). All the patients received routine rehabilitation treatment for four weeks, while the Flexi-bar group received fixing Flexi-bar training with hanging in addition. They were assessed with Postural Assessment Scale for Stroke Patients (PASS), Fugl-Meyer Assessment (FMA) for motor and balance and modified Barthel index (MBI) before and after treatment, while the root mean square (RMS) of surface electromyography of rectus abdominis, external oblique muscle, internal oblique muscle and erector spinae of affected side were measured.
Results There were two cases lost in the Flexi-bar group. The scores of PASS, FMA for balance and MBI increased in both groups after treatment (|t| > 2.750, P < 0.05), and increased more in the Flexi-bar group than in the control group (| t| > 3.449, P < 0.05), except the score of FMA for motor. The RMS of all the muscles increased in both groups after treatment (| t| > 2.156, P < 0.05), and increased more in the Flexi-bar group than in the control group (| t| > 2.368, P < 0.05).
Conclusion Fixing Flexi-bar training could promote the recorvery of activities of trunk muscles in chronic stroke patients, to improve postural control and balance.

Key words: stroke, Flexi-bar, motor, postural control, balance, vibration

ZHANG Qian,ZHANG Tong. Effects of Fixing Flexi-bar Training on Motor Function for Patients with Stroke at Recovery Stage[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(9): 1010-1014.

Figures/Tables 9

References 35

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项目	对照组(n = 23)	训练组(n = 22)	χ²/F值	P值
性别(男/女, n)	18/5	17/5	0.172	0.653
年龄(岁)	55.33±9.85	52.36±8.98	0.010	0.811
身高(cm)	169. 56±6.34	175.35±6.12	0.013	0.772
体质量(kg)	73.40±7.73	55.43±7.15	0.462	0.512
腹围(cm)	89.69±7.36	89.58±5.66	0.372	0.541
病程(d)	55.70±29.73	45.8±31.45	0.459	0.488
病因(脑出血/脑梗死, n)	17/6	15/7	0.216	0.615
偏瘫侧(左/右, n)	18/5	16/6	0.298	0.568

组别	n	治疗前	治疗后	t值	P值
对照组	23	17.66±6.39	21.77±4.73	-2.750	0.025
训练组	20	17.80±7.01	28.20±5.06	-8.843	< 0.001
t值		-0.065	-3.821
P值		0.949	0.001

组别	n	治疗前	治疗后	t值	P值
对照组	23	40.89±14.85	49.55±15.39	-6.949	< 0.001
训练组	20	39.40±14.71	51.10±17.89	-9.379	< 0.001
t值		0.218	-0.210
P值		0.830	0.843

组别	n	治疗前	治疗后	t值	P值
对照组	23	6.78±1.86	7.89±1.45	-4.000	0.001
训练组	20	7.40±2.07	10.70±1.83	-5.124	< 0.001
t值		-0.688	-3.680
P值		0.501	0.002

组别	n	治疗前	治疗后	t值	P值
对照组	23	53.89±11.47	63.33±10.90	-12.348	< 0.001
训练组	20	51.50±15.72	75.50±14.77	-10.000	< 0.001
t值		0.650	-3.449
P值		0.524	0.003

Effects of Fixing Flexi-bar Training on Motor Function for Patients with Stroke at Recovery Stage

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组别	n	治疗前	治疗后	t值	P值
对照组	23	191.00±31.85	220.94±34.01	-9.367	< 0.001
训练组	20	197.71±24.90	256.64±25.42	-8.851	< 0.001
t值		-0.643	-3.248
P值		0.525	0.003

组别	n	治疗前	治疗后	t值	P值
对照组	23	160.53±28.28	191.76±38.60	-6.324	< 0.001
训练组	20	172.57±27.36	248.00±41.45	-8.459	< 0.001
t值		-1.185	-3.905
P值		0.246	0.001

组别	n	治疗前	治疗后	t值	P值
对照组	23	182.00±45.48	216.76±37.53	-6.955	< 0.001
训练组	20	192.14±40.24	249.86±40.13	-8.347	< 0.001
t值		-0.650	-2.368
P值		0.521	0.025

组别	n	治疗前	治疗后	t值	P值
对照组	23	218.88±37.75	245.76±48.06	-2.156	0.047
训练组	20	201.64±33.02	286.64±20.81	-10.640	< 0.001
t值		1.338	-3.165
P值		0.191	0.004

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