刘西花,杨玉如,李晓旭,等.吸气肌训练联合膈肌抗阻训练对脑卒中患者运动和平衡功能的影响[J].中华物理医学与康复杂志,2022,44(9):788-791
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| 吸气肌训练联合膈肌抗阻训练对脑卒中患者运动和平衡功能的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2022.09.005 |
| 中文关键词: 脑卒中 呼吸肌 运动 平衡功能 相关分析 |
| 英文关键词: Stroke Respiratory muscles Exercise balance Correlation analysis Diaphragm |
| 基金项目:国家自然科学基金 (81802239) |
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| 中文摘要: |
| 目的 观察吸气肌训练联合膈肌抗阻训练对脑卒中患者呼吸、运动和平衡功能的影响。 方法 选取符合入选和排除标准的脑卒中患者88例，采用随机数字表法分为呼吸肌训练组和对照组，每组患者44例。2组患者均给予常规康复训练，呼吸训练组在此基础上增加吸气肌训练和膈肌抗阻训练，吸气肌训练和膈肌抗阻训练均每日1次，每周训练5 d，连续训练4周。分别于治疗前和治疗4周后（治疗后）采用吸气肌肌力指数、Fugl-Meyer评定量表(FMA)和Berg平衡量表分别评估2组患者的呼吸肌肌力、运动功能和平衡功能，并采用相关性分析探讨呼吸肌肌力、运动功能和平衡功能的相关性。 结果 治疗后，呼吸训练组患者的吸气肌肌力指数、Fugl-Meyer评分和Berg平衡评分分别为61.80%、75.00分和38.00分，均显著优于组内治疗前和对照组治疗后(P<0.05)。Sperman相关性分析显示，吸气肌肌力指数与FMA评分（r=0.649, P<0.001），Berg平衡评分与FMA评分（r=0.607, P<0.001），吸气肌肌力指数与Berg平衡评分（r=0.475，P<0.005），3者间均呈显著相关性。 结论 吸气肌训练联合膈肌抗阻训练可显著改善脑卒中患者的吸气肌肌力水平，同时还可促进其运动功能和平衡功能的恢复。 |
| 英文摘要: |
| Objective To explore the effect of combining inspiratory muscle training with diaphragm resistance training on the respiratory, motor and balance functioning of stroke survivors. Methods Eighty-eight stroke survivors were randomly divided into a respiratory muscle training group and a control group, each of 44. Both groups received routine rehabilitation, but the respiratory muscle training group also received daily inspiratory muscle and diaphragm resistance training, five days a week for 4 weeks. The respiratory muscle strength, motor function and balance of the two groups were evaluated using the inspiratory muscle strength index, the Fugl-Meyer assessment scale and the Berg balance scale before and after the treatment. Results After the treatment, the average inspiratory muscle strength index of the respiratory muscle training group was 61.80%, its average Fugl-Meyer score was 75 and its average Berg balance score was 38. All were significantly better than before the treatment and better than the control group′s averages at the same time point. Spearman correlation analysis found significant correlation among the three measurements. Conclusions Combining inspiratory muscle training with diaphragm resistance training can significantly improve the inspiratory muscle strength of stroke survivors, and promote the recovery of their motor and balance functions. |
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