王鸿滨,郝习君,郭全荣,等.站立平衡动态提升训练对脑卒中后偏瘫患者平衡、运动功能及生活质量的影响[J].中华物理医学与康复杂志,2024,46(5):417-422
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| 站立平衡动态提升训练对脑卒中后偏瘫患者平衡、运动功能及生活质量的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.05.006 |
| 中文关键词: 站立平衡动态提升训练 脑卒中 平衡功能 运动功能 生活质量 |
| 英文关键词: Standing balance Dynamic lifting Stroke Balance Motor functioning Quality of life |
| 基金项目:河北省重点研发计划项目（22377758D）；河北省医学科学研究课题计划（20231580）；河北省康复工程与再生医学重点实验室（SZX202327） |
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| 中文摘要: |
| 目的 探讨站立平衡动态提升训练对脑卒中后偏瘫患者平衡、运动功能及生活质量的影响。 方法 按照随机数字表法将80例脑卒中患者分为对照组和试验组，每组40例。2组患者均接受常规康复训练，试验组在此基础上增加站立平衡动态提升训练。干预前、干预2周及4周后，采用Brunel平衡量表（BBA）和计时起立行走测试（TUGT）评定2组患者的平衡与运动功能。干预前和干预4周后，采用脑卒中专用生活质量量表(SS-QOL)评定2组患者的生活质量。 结果 与组内干预前比较，2组患者干预2周及4周后的行走功能维度评分、BBA总分、TUGT用时显著改善（P＜0.05），且干预4周后上述指标较组内干预2周后改善优异（P＜0.05）。与对照组干预后同时间点比较，试验组干预2周及4周后的行走功能维度评分［（2.80±0.41）分、（3.55±0.50）分］、BBA总分［（8.80±0.41）分、（9.55±0.50）分］、TUGT用时［（25.93±2.93）s、（21.68±2.18）s］改善优异（P＜0.05）。干预4周后，试验组SS-QOL各维度及总分评分均增高（P＜0.05），精力［（9.38±1.17）分］、语言［（15.10±2.48）分］、运动功能［（16.88±1.83）分］、情绪［（14.70±1.87）分］、自理能力［（11.38±1.53）分］、上肢功能 ［（8.18±1.01）分］ 维度评分及SS-QOL总分［（135.30±8.47）分］较对照组增加（P＜0.05）。 结论 站立平衡动态提升训练可有效改善脑卒中偏瘫患者的平衡与运动功能，提高生活质量。 |
| 英文摘要: |
| Objective To explore any effect of standing balance dynamic lifting training on balance, motor functioning and the life quality of hemiplegic stroke survivors. Methods Eighty stroke survivors were randomly divided into a control group and an experimental group, each of 40. Both groups received routine rehabilitation training, while the experimental group additionally underwent standing balance dynamic lifting training. Before the intervention, and 2 and 4 weeks later, everyone′s balance and motor functioning were evaluated using the Brunel balance assessment (BBA) and the timed "up and go" test (TUGT). Life quality was quantified using the stroke special quality of life scale (SS-QOL). Results Significant improvement in the average walking function score, BBA total score and TUGT time was observed in both groups, with significantly greater improvement after 4 weeks than after two. The improvements in the experimental group were significantly greater than in the control group. After 4 weeks the average total SS-QOL score and the scores on all of its dimensions had increased significantly in the experimental group. The scores for energy, language, motor function, emotions, self-care ability, upper limb function and the average SS-QOL total score were all then significantly better in the experimental group. Conclusions Standing balance dynamic lifting training can effectively improve the balance, motor function and life quality of stroke survivors with hemiplegia. |
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