弹力绳带对偏瘫患者平衡及步行能力的疗效影响
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摘要
目的:探讨弹力绳带对偏瘫患者躯干与下肢功能的疗效。方法:将50例偏瘫患者随机分为试验组和对照组各25例,均接受常规运动疗法和神经生理学疗法,试验组则在每次治疗过程中佩戴弹力绳带,分别于治疗前和治疗6周后采用Fugl-Meyer下肢运动功能量表(Fugl-Meyer assessment,FMA-L)、Berg平衡量表(Berg balance scale,BBS)、功能性步行量表(functional abulation category,FAC)、10米最大步行速度(10m MWS)评价两组临床疗效。结果:试验组FMA-L、BBS、FAC评分及10m MWS改善程度均显著优于对照组(P<0.01)。结论:在偏瘫患者康复训练过程中配合弹力绳带环绕捆绑可显著提高平衡功能、下肢运动功能、步行速度。
Objective: To investigate the effect of elastic rope on trunk and lower extremity functions of hemiplegia patients. Methods: 50 cases of hemiplegia patients were randomly divided into experimental group(25 cases) and control group(25 cases), both of the groups received conventional exercise and neurophysiology therapy, while experimental group combined with wearing elastic rope in each treatment process, and used FMA-L,BBS, FAC and 10 m MWS to evaluate the efficacy of the two groups at times of before and 6 weeks after treatment. Results: The improvement of FMA-L, BBS, FAC scores and 10 m MWS of experimental group were significantly better than those of control group(P<0.01). Conclusion: Surround binding with elastic rope in process of rehabilitation training can significantly improve the balance and lower extremity functions and walking speed of hemiplegia patients.
Objective: To investigate the effect of elastic rope on trunk and lower extremity functions of hemiplegia patients. Methods: 50 cases of hemiplegia patients were randomly divided into experimental group(25 cases) and control group(25 cases), both of the groups received conventional exercise and neurophysiology therapy, while experimental group combined with wearing elastic rope in each treatment process, and used FMA-L,BBS, FAC and 10 m MWS to evaluate the efficacy of the two groups at times of before and 6 weeks after treatment. Results: The improvement of FMA-L, BBS, FAC scores and 10 m MWS of experimental group were significantly better than those of control group(P<0.01). Conclusion: Surround binding with elastic rope in process of rehabilitation training can significantly improve the balance and lower extremity functions and walking speed of hemiplegia patients.
引文
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[13]丁德真.感觉输入与自主训练介入对脑卒中偏瘫患者的疗效比较[J].现代康复,2001,5(5):74.
[14]万新炉,黄怡,叶正茂,等.平衡训练仪对脑卒中偏瘫患者下肢运动能力的影响[J].中国康复,2012,27(6):417-419.
[15]陈丽霞,吴润辉,张光宇,等.本体感觉训练对儿童血友病患者下肢靶关节出血频率的影响[J].中国康复医学杂志,2010,25(4):340-342.
[16]刘蓓蓓,丁勤能,王岩.姿势控制训练对偏瘫患者足底压力及平衡功能的影响[J].东南国防医药,2014,16(4):367-369.
[2]顾昭华,蔡可书,王翔,等.弹力带在偏瘫患者步态矫正训练中的临床应用[J].中国康复,2009,24(4):241-243.
[3]全国第四届脑血管病学术会议.各类脑血管疾病诊断要点[J].中华神经科杂志,1996,29(6):379-381.
[4]何成奇.康复医学[M].北京:人民卫生出版社,2010:377-378.
[5]恽晓平.康复疗法评定学[M].北京:华夏出版社,2005:258-259.
[6]王玉龙.康复功能评定学[M].北京:人民卫生出版社,2008.
[7]赵宏,翁长水,高丽萍.用Berg平衡量表和最大步行速度评价脑卒中患者的户外步行独立性[J].中国康复理论与实践,2016,16(1):8-9.
[8]Ostwald SK,Davis S,Hersch G,et al.Evidence-based educational guidelines for stroke survivors after discharge home[J].J Neurosci Nurs,2008,40(3):173-191.
[9]顾新,Atricia ES.偏瘫患者下肢运动功能、平衡功能和步行速度的相关性[J].中华物理医学与康复杂志,1998,20(4):199-201.
[10]易亮,刘影红.中西医综合感觉训练对脑卒中偏瘫患者功能的影响[J].中国现代医学杂志,2016,26(18):115-117.
[11]Fong KN,Chan CC,Au DK.Relationship of motor and cognitive abilities to functional performance in stroke rehabilitation[J].Brain Inj,2001,15(5):443-453.
[12]Lin JH,Hsieh CL,Hsiao SF,et al.Predicting long-term care institution utilization among post-rehabilitation stroke patients in Taiwan:a medical centre-based study[J].Disabil Rehabil,2001,23(16):722-730.
[13]丁德真.感觉输入与自主训练介入对脑卒中偏瘫患者的疗效比较[J].现代康复,2001,5(5):74.
[14]万新炉,黄怡,叶正茂,等.平衡训练仪对脑卒中偏瘫患者下肢运动能力的影响[J].中国康复,2012,27(6):417-419.
[15]陈丽霞,吴润辉,张光宇,等.本体感觉训练对儿童血友病患者下肢靶关节出血频率的影响[J].中国康复医学杂志,2010,25(4):340-342.
[16]刘蓓蓓,丁勤能,王岩.姿势控制训练对偏瘫患者足底压力及平衡功能的影响[J].东南国防医药,2014,16(4):367-369.