体轴回旋结合节律性呼吸训练对脑卒中偏瘫下肢功能的效果

doi:10.3969/j.issn.1006-9771.2021.11.013

Abstract

Abstract:

Objective To investigate the effect of body axis rotation combined with rhythmic breathing training on lower limb motor function and balance ability of stroke patients with hemiplegia.Methods From June, 2018 to June, 2020, 50 patients with hemiplegia after stroke from Physical Therapy Department of Rehabilitation Hospital Affiliated to Fujian University of Traditional Chinese Medicine were divided into control group (n = 25) and experimental group (n = 25). Both groups accepted routine rehabilitation, while the experimental group accepted body axis rotation and rhythmic breathing training for core muscle strength in addition, for six weeks. The total training time was the same for both groups. They were assessed with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS), Timed 'Up & Go' Test (TUGT) and 10-meter walking speed (10MWS) before and after treatment.Results The scores of FMA-LE and BBS, and 10MWS increased in both groups after treatment (|Z| > 4.375, P < 0.001), and increased more in the experimental group than in the control group (|Z| > 3.415, P < 0.01); while the time of TUGT decreased in both groups (Z = -4.372, P < 0.001), and decreased more in the experimental group than in the control group (Z = -2.804, P < 0.01).Conclusion Body axis rotation combined with rhythmic breathing training for core muscle strength may promote the recovery of lower limb motor function and balance ability for stroke patients with hemiplegia.

Key words: stroke, hemiplegia, body axis rotation, rhythmic breathing, core muscle strength, lower limb, motor, balance

FU Wei-wei,YAN Wen-juan. Effect of Body Axis Rotation Combined with Rhythmic Breathing Training on Lower Limbs Hemiplegia after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(11): 1323-1328.

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References 37

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组别	n	性别 (男/女, n)	年龄 (岁)	病程 (d)	卒中类型 (出血/梗死, n)	偏瘫侧 (左/右, n)
对照组	25	15/10	62.24±6.61	72.24±22.31	12/13	12/13
试验组	25	18/7	64.00±4.92	74.44±23.98	10/15	16/9
χ²/t值		1.608	0.802	0.336	0.325	1.299
P值		0.291	0.370	0.738	0.569	0.254

组别	n	治疗前	治疗后	Z值	P值
对照组	25	13.00 (4.50)	20.00 (3.50)	-4.390	< 0.001
试验组	25	13.00 (6.00)	26.00 (5.00)	-4.831	< 0.001
Z值		-0.293	-4.391
P值		0.770	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	25	24.00 (9.50)	34.00 (8.50)	-4.386	< 0.001
试验组	25	24.00 (10.50)	45.00 (8.00)	-4.375	< 0.001
Z值		-0.058	-4.984
P值		0.953	< 0.001

组别	n	治疗前	治疗后	Z值	P值
对照组	25	39.53 (19.77)	31.46 (12.52)	-4.372	< 0.001
试验组	25	40.70 (20.22)	21.50 (12.41)	-4.372	< 0.001
Z值		-0.155	-2.804
P值		0.877	0.005

组别	n	治疗前	治疗后	Z值	P值
对照组	25	15.22 (3.36)	23.57 (8.46)	-4.372	< 0.001
试验组	25	15.44 (6.21)	31.55 (10.40)	-4.372	< 0.001
Z值		-0.184	-3.415
P值		0.854	0.001

Effect of Body Axis Rotation Combined with Rhythmic Breathing Training on Lower Limbs Hemiplegia after Stroke

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