赵海洋,韩军涛,刘佳琦,等.本体感觉训练结合核心稳定性训练对下肢大面积烧伤后患者平衡和运动功能的影响[J].中华物理医学与康复杂志,2025,47(5):425-429
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| 本体感觉训练结合核心稳定性训练对下肢大面积烧伤后患者平衡和运动功能的影响 |
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| DOI：10.3760/cma.j.cn421666-20230505-00364 |
| 中文关键词: 烧伤 下肢 本体感觉 核心稳定性 运动功能 平衡能力 |
| 英文关键词: Burns Proprioception Core stability Motor function Balance |
| 基金项目:陕西省重点研发计划（2022SF-279） |
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| 中文摘要: |
| 目的 观察本体感觉训练结合核心稳定性训练对大面积烧伤后患者下肢运动和平衡功能的影响。 方法 选取符合入选和排除标准的大面积烧伤后下肢运功和平衡功能障碍患者60例，按随机数字表法将其分为治疗组和对照组，每组患者30例。2组患者均行下肢植皮术，待下肢创面愈合后即可开始常规康复治疗，包括关节牵伸训练和肌力训练，治疗组患者在此基础上增加本体感觉训练和核心稳定性训练。于治疗前和治疗12周后（治疗后）采用Fugl-Meyer运动功能评定（FMA）下肢部分、Holden步行能力分级（FAC）、闭眼单腿站立时长和“起立-行走”计时测试（TUGT）分别评估2组患者的下肢运动功能、步行能力、静态平衡能力和动态平衡能力。治疗后，根据李克特量表自行设计满意度调查表，对2组患者进行治疗效果满意度评估。 结果 治疗后，2组患者的FMA下肢部分评分和FAC评分较组内治疗前均显著改善（P＜0.05），且治疗组患者的FMA下肢部分评分和FAC评分亦显著优于对照组（P＜0.05）。治疗后，2组患者的闭眼单腿站立时长和TUGT较组内治疗前均显著改善（P＜0.05），且治疗组的闭眼单腿站立时长和TUGT亦显著优于对照组（P＜0.05）。治疗后，治疗组患者的治疗效果满意度评分为（13.5±1.2）分，明显高于对照组患者的（7.9±1.4）分，组间差异有统计学意义（P＜0.05）。 结论 在常规康复治疗基础上增加本体感觉训练和核心稳定性训练可进一步改善大面积烧伤后下肢功能障碍患者的运动功能、平衡能力和步行能力，并提高疗效。 |
| 英文摘要: |
| Objective To observe any influence of combining proprioceptive training with core stability training in rehabilitation motor functioning and balance after extensive burns. Methods Sixty patients with lower limb motor and balance disorders after extensive burns were randomly divided into a treatment group and a control group, each of 30. Both groups underwent skin grafting on the lower limbs. After the wounds had healed, both groups were given routine rehabilitation treatment, including joint stretching and muscle strength training, but the treatment group was additionally provided with proprioception and core stability training. Before and after 12 weeks of treatment, both groups′ lower limb motor function and walking ability were evaluated using the Fugl-Meyer Assessment (L-FMA), and static and dynamic balance were quantified using Holden Functional Ambulation Classification (FAC). The duration of standing on one leg with the eyes closed was recorded, along with Timed "Up & Go" Test (TUGT) times. After the treatment, each patient′s satisfaction was assessed using a self-designed questionnaire. Results Significant improvement was observed in the average L- FMA and FAC scores after the treatment, as well as in the ability to stand on one leg with the eyes closed. The average TUGT time in both groups was shorter, but there had been significantly greater improvement of the treatment group than among the controls. Reported satisfaction was significantly higher among the treated group than among the controls. Conclusions Supplementing basic rehabilitation with proprioception training and core stability training can further improve the motor functioning, balance and walking of persons who have suffered extensive burns. |
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