普拉提训练对脑卒中恢复中期患者肺功能及下肢运动功能的影响

目的：观察普拉提训练对脑卒中恢复中期患者肺功能及下肢运动功能的影响。方法：将符合纳入标准的47例脑卒中恢复中期患者随机分为对照组24例和观察组23例。2 组患者均给予常规康复训练，观察组患者于常规康复训练基础上联合普拉提训练。2组患者于治疗前、治疗6周后分别采用用力肺活量（FVC）、一秒用力呼气容积（FEV1）、呼气流量峰值（PEF）和FEV1/FVC评估肺功能，疲劳严重程度量表（FSS）评估患者疲劳度，Fugl-Meyer下肢运动功能量表(FMA-L)评价患者下肢运动功能。比较2组患者肺功能、疲劳度变化情况及下肢运动功能。结果: 治疗前，2组患者FVC、FEV1、FEV1/FVC、PEF及FMA-L、FSS评分比较均差异无统计学意义。治疗6周后，2组FVC、FEV1、PEF及FMA-L评分均较治疗前明显提高(P<0.05)，且观察组高于对照组(P<0.05)；2组FSS评分均较治疗前明显降低(P<0.05)，且观察组低于对照组(P<0.05)；2组FEV1/FVC治疗前后及组间比较差异无统计学意义。结论: 普拉提训练可有效提高脑卒中恢复中期患者肺功能及下肢运动功能，缓解疲劳度，临床治疗应充分重视脑卒中患者的肺功能训练。

Effect of Pilates training on Respiratory Function and Motor Function of Lower Limbs for Recovery Phase of Stroke Patients

Objective: To investigate the effect of Pilates training on respiratory function and motor function of lower limbs for recovery phase of stroke patients. Methods: Totally, 47 patients were randomly divided into control group (n=24) and observation group (n=23) by computer program in the study. All 47 patients received the regular rehabilitation treatment. Observation group received the Pilates training for 6 weeks. The respiratory function of the two groups was assessed before treatment and 6 weeks after treatment. The respiratory function was assessed by forced vital capacity (FVC), forced expiratory volume in one second (FEV1), peak expiratory flow (PEF) and FEV1/FVC. Fatigue was assessed by the Fatigue Severity Scale (FSS). Fugl-meyer Lower Limb Motor Function Scale (FMA-L) was used to evaluate the motor function of lower limbs in patients after stroke. Respiratory function, fatigue and motor function of lower limbs were compared between two groups. Results: There were no significant differences in respiratory function indicators (FVC, FEV1, FEV1/FVC, PEF), FMA-L and FSS between the two groups before treatment. After 6 weeks of treatment, FVC, FEV1, PEF and lower limb motor function of the observation group were significantly higher than those in the control group (P<0.05). There was no significant difference in FEV1/FVC between the two groups before and after treatment. Conclusion: Pilates training can effectively improve respiratory function, fatigue degree and motor function of lower limbs for recovery phase of stroke patients.