高晶晶,程鹤.呼吸训练对脑卒中患者上肢功能及平衡能力的影响[J].中华物理医学与康复杂志,2024,46(9):786-790
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| 呼吸训练对脑卒中患者上肢功能及平衡能力的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2024.09.004 |
| 中文关键词: 呼吸训练 脑卒中 上肢功能 平衡功能 |
| 英文关键词: Respiratory training Stroke Upper limb function Balance |
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| 中文摘要: |
| 目的 观察呼吸训练对脑卒中患者上肢功能及平衡能力的影响。 方法 选取脑卒中患者64例，按照随机数字表法将其分为对照组和试验组，每组32例。2组患者均给予常规康复治疗（包括物理因子治疗、肢体运动训练、作业治疗），试验组在此基础上增加呼吸训练。2组患者均每日治疗1次，每周5 d，连续4周。治疗前和治疗4周后（治疗后），采用Fugl-Meyer运动功能量表上肢部分（FMA-UE）、上肢运动研究量表(ARAT)评定2组患者的上肢功能，采用Berg平衡量表（BBS）、躯干控制能力测试（TCT）评定2组患者的平衡能力，采用改良Barthel指数（MBI）评定2组患者的日常生活活动（ADL）能力。 结果 治疗后，2组患者的FMA-UE、ARAT、BBS、TCT、MBI评分均较组内治疗前改善（P＜0.05），且试验组治疗后FMA-UE［(44.56±8.69)分］、ARAT［(42.50±11.68)分］、BBS［(39.34±7.74)分］、TCT［(70.68±19.40)分］、MBI［(80.00±15.45)分］评分优于对照组（P＜0.05）。 结论 呼吸训练能有效改善脑卒中患者的上肢功能及平衡能力。 |
| 英文摘要: |
| Objective To explore any effect of respiratory training on the upper limb functioning and balance of stroke survivors. Methods Sixty-four stroke survivors were randomly divided into an experimental group and a control group, each of 32. Both groups were given routine rehabilitation treatment (including physical agent therapy, physical training and occupational therapy), but the experimental group also received respiratory training once a day, 5 days a week for 4 weeks. Before and after the treatment, upper limb function was evaluated using Fugl-Meyer Upper Extremity Scale (FMA-UE) and the Action Research arm test (ARAT). The subjects′ balance was quantified using the Berg Balance Scale (BBS) and the trunk control test (TCT). Ability in the activities of daily living (ADL) was assessed using the modified Barthel index (MBI). Results After 4 weeks of treatment, the average FMA-UE, ARAT, BBS, TCT and MBI scores of both groups had increased significantly, but the experimental group′s averages were then all significantly better than those of the control group. Conclusions Respiratory training can promote the recovery of upper limb function and balance after a stroke. |
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