改良八段锦身体活动对脑卒中患者心肺功能、运动功能和日常生活活动能力的效果

doi:10.3969/j.issn.1006-9771.2024.01.010

Abstract

Abstract:

Objective To investigate the effect of modified Baduanjin exercise, as an rehabilitation exercise, on cardiopulmonary function, motor function and activities of daily living in patients with stroke.

Methods From January to September, 2023, 42 stroke patients in the Nanjing Qixia District Hospital were randomly divided into control group (n = 21) and experimental group (n = 21). The control group received routine rehabilitation, and the experimental group received modified Baduanjin exercise in addition, for four weeks. They were assessed with peak oxygen uptake (VO_2peak), anaerobic threshold (AT), peak oxygen pulse (VO_2peak/HR), forced vital capacity (FVC), forced expiratory volume in the first second (FEV₁), peak expiratory flow (PEF), Fugl-Meyer Assessment-upper extremities (FMA-UE), Berg Balance Scale (BBS) and modified Barthel Index (MBI) before and after intervention.

Results VO_2peak, AT, and the scores of FMA-UE, BBS and MBI improved in the control group after intervention (|t| > 2.256, |Z| > 2.936, P < 0.05); while VO_2peak, AT, VO_2peak/HR, FVC, FEV₁, PEF, and the scores of FMA-UE, BBS and MBI improved in the experimental group (|t| > 4.390, |Z| > 3.451, P < 0.001); and all the indexes were better in the experimental group than in the control group (|t| > 4.136，|Z| > 2.751，P < 0.01), except the scores of BBS and MBI.

Conclusion Modified Baduanjin exercise can improve the cardiopulmonary function and upper limb motor function for stroke patients.

Key words: stroke, exercise rehabilitation, Baduanjin, cardiopulmonary function, motor function

CLC Number:

R743.3

CHEN Junwen, CHEN Qian, CHEN Cheng, LI Shuyue, LIU Lingling, WU Cunshu, GONG Xiang, LU Jun, XU Guangxu. Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 74-80.

Figures/Tables 10

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References 35

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组别	n	性别(男/女)/n	年龄/岁	病程/d	卒中类型(缺血性和出血性)/n	偏瘫侧(左/右)/n
对照组	21	17/4	54.14±12.30	183.67±234.44	16/5	13/8
试验组	21	17/4	52.86±14.84	210.57±398.09	17/4	13/8
χ²/t值		0.000	0.306	-0.267	0.141	0.000
P值		1.000	0.761	0.791	1.000	1.000

组别	n	干预前	干预后	t值	P值
对照组	21	2.63±1.01	2.70±0.90	-1.058	0.303
试验组	21	3.02±0.62	3.41±0.62	-8.818	< 0.001
t值		1.759	-4.039
P值		0.086	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	21	1.67±0.63	1.77±0.54	-1.791	0.088
试验组	21	2.02±0.50	2.43±0.58	-8.448	< 0.001
t值		1.972	4.437
P值		0.056	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	21	2.58±1.10	2.53±1.00	0.793	0.437
试验组	21	2.95±0.83	3.84±1.04	-3.451	< 0.001
t值		-1.610	6.599
P值		0.107	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	21	14.94±5.84	15.35±5.59	-2.338	0.030
试验组	21	14.51±2.91	16.80±2.94	-8.456	< 0.001
t值		-0.306	5.813
P值		0.761	< 0.001

Effect of modified Baduanjin exercise on cardiopulmonary function, motor function and activities of daily living for stroke patients

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组别	n	干预前	干预后	t值	P值
对照组	21	11.18±2.86	11.53±2.83	-2.256	0.035
试验组	21	10.88±2.26	13.62±2.38	-10.350	< 0.001
t值		-0.381	7.760
P值		0.705	< 0.001

组别	n	干预前	干预后	t值	P值
对照组	21	9.13±2.18	9.14±2.07	-0.137	0.892
试验组	21	9.22±1.91	10.17±1.70	-4.390	< 0.001
t值		0.151	4.136
P值		0.881	< 0.001

组别	n	干预前	干预后	Z值	P值
对照组	21	49.52±19.80	50.76±19.19	-3.342	0.001
试验组	21	44.29±19.08	49.05±15.38	-4.883	< 0.001
Z值		-0.884	-2.751
P值		0.376	0.006

组别	n	干预前	干预后	Z值	P值
对照组	21	47.33±5.64	49.43±5.04	-5.067	< 0.001
试验组	21	45.86±6.25	48.95±5.18	-5.290	< 0.001
Z值		-0.804	-1.136
P值		0.426	0.256

组别	n	干预前	干预后	Z值	P值
对照组	21	84.86±18.24	89.90±13.49	-2.936	0.003
试验组	21	86.24±11.50	90.48±9.95	-4.671	< 0.001
Z值		-0.331	-0.939
P值		0.741	0.348

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