水中平板步行训练对脑卒中偏瘫患者双侧腹肌厚度及平衡功能的疗效

doi:10.3969/j.issn.1006-9771.2022.05.006

Abstract

Abstract:

Objective To explore the effect of aquatic treadmill training on abdominal muscle thickness and balance function in patients with hemiplegia after stroke. Methods From March to October, 2021, 60 patients with hemiplegia after stroke were randomly divided into control group (n = 20), suspension group (n = 20) and aquatic treadmill group (n = 20). On the basis of comprehensive rehabilitation training, the control group received treadmill training, the suspension group received skyrail suspension walking training, and the aquatic treadmill group received treadmill training in water, for four weeks. The curative effect was evaluated by musculoskeletal ultrasound with muscle thickness of bilateral external oblique, internal oblique and transverse abdominal muscles. And they were assessed with Postural Assessment Scale for Stroke Patient (PASS) and Timed 'Up & Go' Test (TUGT) before and after treatment. Results After treatment, the thickness of external oblique and internal oblique muscles on the unaffected side, the PASS score and the TUGT time improved in all the three groups (|t| > 2.135, P < 0.05); while the thickness of external oblique, internal oblique and transverse abdominal muscles in the aquatic treadmill training group increased (|t| > 5.567, P < 0.001). The PASS score, the TUGT time, and the thickness of external oblique and internal oblique muscles on the affected side improved more in the aquatic treadmill training group than in the control group and the suspension group (P < 0.05). Conclusion The aquatic treadmill training is more effective in strenghthening abdominal muscle to improve balance function.

Key words: stroke, hemiplegia, aquatic treadmill training, abdominal muscle thickness, balance function

CLC Number:

R743.3

WANG Yanan,LIU Huilin,ZHU Lin,DU Xuejing,ZHU Xiaomin,LIU Yuanmin. Effect of aquatic treadmill training on bilateral abdominal muscle thickness and balance function in stroke patients with hemiplegia[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(5): 524-529.

Figures/Tables 9

References 29

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组别	n	性别(男/女)/n	年龄/岁	病程/月	性质(出血/梗死)/n
对照组	20	10/10	37.20±6.42	4(2)^a	9/11
悬吊组	20	9/11	42.95±7.70	4(2)^a	9/11
水中平板组	20	12/8	41.45±10.26	3.5(3)^a	6/14
χ²/F/K值		0.934	2.593	0.728	1.250
P值		0.627	0.084	0.695	0.535

组别	n	治疗前	治疗后	t值	P值
对照组	19	5.63±1.65	6.32±1.38	-2.135	0.047
悬吊组	20	4.91±0.77	5.84±1.58	-2.342	0.030
水中平板组	19	5.07±0.87	5.72±1.22	-4.435	< 0.001
F值		0.847	0.799
P值		0.434	0.455

组别	n	治疗前	治疗后	t值	P值
对照组	19	5.95±0.65	7.56±1.38	-6.135	< 0.001
悬吊组	20	5.50±1.19	7.08±1.38	-4.480	< 0.001
水中平板组	19	5.23±1.18	6.65±1.75	-4.194	0.001
F值		2.030	1.717
P值		0.141	0.189

组别	n	治疗前	治疗后	t值	P值
对照组	19	3.00±0.70	2.64±0.36	1.957	0.066
悬吊组	20	2.74±0.27	2.57±0.85	1.050	0.307
水中平板组	19	2.78±0.57	2.49±0.81	1.921	0.071
F值		1.282	0.222
P值		0.286	0.801

组别	n	治疗前	治疗后	t值	P值
对照组	19	4.99±0.82	5.10±0.74	-1.319	0.204
悬吊组	20	5.02±1.29	4.91±0.77^a	0.590	0.562
水中平板组	19	5.26±0.65	5.89±0.50^b,c	-5.823	< 0.001
F值		0.445	11.272
P值		0.643	< 0.001

Effect of aquatic treadmill training on bilateral abdominal muscle thickness and balance function in stroke patients with hemiplegia

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组别	n	治疗前	治疗后	t值	P值
对照组	19	5.43±0.30	5.40±0.27	1.326	0.202
悬吊组	20	5.26±1.11	5.32±0.77^a	-0.221	0.837
水中平板组	19	5.26±0.53	5.89±0.52^b,c	-7.598	< 0.001
F值		0.315	5.596
P值		0.731	0.006

组别	n	治疗前	治疗后	t值	P值
对照组	19	2.35±0.59	2.41±0.52	-1.681	0.110
悬吊组	20	2.32±0.59	2.76±0.89	-1.542	0.139
水中平板组	19	2.11±0.45	2.48±0.32	-5.567	< 0.001
F值		1.116	1.675
P值		0.335	0.197

组别	n	治疗前	治疗后	t值	P值
对照组	19	29.16±2.17	31.53±1.43	-8.514	< 0.001
悬吊组	20	29.15±1.57	31.00±1.78^a	-6.135	< 0.001
水中平板组	19	28.58±1.17	33.47±1.02^b,c	-14.350	< 0.001
F值		0.744	15.601
P值		0.480	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	19	20.23±10.71	16.77±7.29	3.294	0.004
悬吊组	20	21.45±7.68	19.19±6.82^a	3.802	0.001
水中平板组	19	16.75±5.25	13.97±4.11^b,c	3.768	0.001
F值		1.719	3.407
P值		0.189	0.040

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