马艳，王小云，岳翔，孙瑞.膈肌训练对脑卒中后疲劳患者日常生活活动的影响[J].中华物理医学与康复杂志,2016,38(8):587-590
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| 膈肌训练对脑卒中后疲劳患者日常生活活动的影响 |
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| DOI： |
| 中文关键词: 脑卒中后疲劳 呼吸功能 膈肌训练 日常生活自理能力 |
| 英文关键词: Post9-stroke fatigue Respiratory function Diaphragm muscle training Daily life ability |
| 基金项目:湖北省自然科学基金研究项目（2012ffb05801） |
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| 中文摘要: |
| 目的观察膈肌训练对脑卒中后疲劳（PSF）患者呼吸功能及日常生活活动能力的影响。 方法采用随机数字表法将78例PSF患者分为治疗组及对照组，2组患者均给予常规康复治疗，治疗组患者在常规干预基础上辅以膈肌训练。于治疗前、治疗4周后分别采用肺功能检查、疲劳严重程度量表（FSS）、Fugl9-Meyer运动功能评定量表(FMA)及改良Barthel指数量表(MBI)评定各组患者呼吸功能、疲劳严重程度、运动功能及日常生活自理能力改善情况。 结果治疗后治疗组各项呼吸功能指标［包括肺活量（VC）、用力肺活量（FVC）、第1秒用力呼气容积（FEV1）及最大通气量（MVV）］均较治疗前及对照组明显提高（P<0.05），其中以MVV的改善幅度尤为显著（P<0.01）；治疗后治疗组FSS评分［（3.39±0.53）分］较治疗前及对照组明显改善（P<0.05），对照组FSS评分治疗前、后无明显差异（P>0.05）；治疗后2组患者FMA、MBI评分均较治疗前明显提高（P<0.05），并且治疗组FMA评分［(41.82±10.33)分］亦显著优于对照组水平（P<0.05），治疗后2组患者MBI评分组间差异仍无统计学意义（P>0.05）。 结论膈肌训练可明显改善PSF患者运动功能及日常生活自理能力，其治疗机制可能与提高患者呼吸功能、降低疲劳严重程度相关。 |
| 英文摘要: |
| Objective To investigate the effect of diaphragm training on respiratory function and the activities of daily living after cerebral apoplexy. MethodsSeventy9-eight patients with post9-stroke fatigue were randomly divided into a treatment group and a routine therapy group, each of 39. Both groups were given conventional rehabilitation treatment, while the treatment group was additionally provided with diaphragm muscle training. Before and after 4 weeks of treatment, both groups were evaluated using pulmonary function tests, a fatigue severity scale (FSS), Fugl9-Meyer motor function assessment (FMA) and the modified Barthel index (MBI). ResultsVital capacity, forced vital capacity, forced vital capacity during the first second, and especially the maximum ventilatory volume of the treatment group were all significantly improved after the treatment. There was also significant improvement in that group′s average FSS score, but not in that of the control group. The average FMA and MBI scores for both groups had improved significantly after the intervention, with the average FMA score of the treatment group significantly higher than that of the control group. However, no significant differences in the average MBI score were observed after the treatment. ConclusionDiaphragm training can significantly improve motor function and the daily life of stroke survivors. The mechanism may be related to improved respiratory function and decreased severity of fatigue. |
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