赵若欣,鲁俊,刘欣荣,等.凝视稳定训练对脑卒中患者平衡功能的影响[J].中华物理医学与康复杂志,2022,44(8):690-694
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| 凝视稳定训练对脑卒中患者平衡功能的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.08.004 |
| 中文关键词: 凝视稳定训练 前庭康复 脑卒中 平衡功能 |
| 英文关键词: Gaze stabilization exercises Vestibular rehabilitation Stroke Balance |
| 基金项目:江苏省重点研发计划项目（BE2021012-4） |
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| 中文摘要: |
| 目的 观察凝视稳定训练对脑卒中患者平衡功能的影响。 方法 将符合入选和排除标准的脑卒中患者40例按照随机数表法分为试验组（20例）和对照组（20例），2组患者均接受常规康复训练，试验组在此基础上增加凝视稳定训练，每日1次，每次30 min，每周训练5 d，连续训练4周。于治疗前和治疗4周后（治疗后）评估2组患者的静态站立时双足压力中心（COP）压强占比和包络椭圆面积、动态下双足COP前、后偏移速度（AP-COPV）、平衡功能［Berg平衡量表(BBS)］、动态平衡功能［起立-行走测试（TUGT）］和特定活动中保持平衡的自信程度［特定活动平衡信心量表（ABC）］。 结果 治疗后，试验组闭眼时的双足包络椭圆面积［（73.21±72.40）mm2］、睁眼患足压强占比［（60.28±17.86）%］、闭眼患足压强占比［（55.04±13.77）%］、健足AP-COPV［（12.03±6.83）cm/s］、患足AP-COPV［（11.82±5.46）cm/s］、BBS评分［（49.95±4.70）分］、TUGT［（21.63±11.14）s］、ABC［（68.38±12.85）%］均显著优于组内治疗前和对照组治疗后，差异均有统计学意义（P<0.05）。 结论 凝视稳定训练不仅可以改善脑卒中患者的平衡功能、患侧支撑和重心转移能力，还可增强其平衡信心，降低跌倒风险。 |
| 英文摘要: |
| Objective To observe the effect of gaze stabilization exercises on the balance of stroke patients. Methods Forty stroke patients were randomly divided into an experimental group (n=20) and a control group (n=20). Both groups were given conventional rehabilitation therapy, while the experimental group was additionally provided with gaze stabilization exercises, once a day, five days a week, for a total of four weeks. Each session lasted 30 minutes. Before and after the four weeks, both groups were evaluated in terms of their envelope ellipse area and the plantar pressure distribution on the affected side in static standing and using the anterior-posterior center of pressure displacement velocity (AP-COPV). They were also assessed using the Berg Balance Scale (BBS), the timed up-and-go test (TUGT), and the Activities-specific Balance Confidence Scale (ABC). Results After the gaze stabilization exercises, the average envelope ellipse area, the plantar pressure distribution of the affected side with the eyes open and closed, AP-COPV, BBS score, TUGT time and ABC score of the experimental group were significantly superior to the control group′s averages and to the results four weeks previously. Conclusions Gaze stabilization exercises can improve balance, weight shifting and one-leg standing after a stroke. That should enhance balance confidence and reduce the risk of falling. |
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