头针联合跪位躯干强化训练对脑卒中偏瘫患者平衡及步行能力的影响

目的:探讨头针配合跪位躯干强化训练对脑卒中偏瘫患者平衡功能及步行能力的影响。方法:将40例脑卒中偏瘫患者随机分为跪位组和头针组各20例。跪位组采用常规康复训练及跪位躯干强化训练,头针组在跪位组基础上配合头皮针疗法。治疗前后采用躯干控制能力测试(TCT)、Berg平衡量表(BBS)、Holden步行功能分级及改良Barthel指数(MBI)评定2组患者的平衡功能、步行能力及日常生活能力。结果:治疗6周后,2组TCT、BBS及MBI评分较治疗前均有明显提高(P0.01);且头针组的TCT、BBS及MBI评分更优于跪位组(P0.05)。治疗后,2组Holden步行功能分级达3~5级者均较治疗前明显增加(P0.05),且头针组明显更多于跪位组(P0.05)。结论:头针联合跪位躯干强化训练能明显改善脑卒中偏瘫患者的平衡功能及步行能力。

Effect of scalp combined with kneeling torso strengthening training on balance and walking in stroke patients

Objective: To observe the effect of scalp combined with kneeling torso strengthening training on balance and walking in stroke patients. Methods: Forty cases of stroke were randomly divided into two groups: kneeling group and scalp group, 20 patients in each group. In kneeling group, the patients were given conventional rehabilitation training and kneeling trunk intensive training, and those in scalp group were given scalp acupuncture therapy on the basis of kneeling group. Before and 6 weeks after treatment, trunk control test (TCT), Berg balance scale (BBS), Holden walk functional class and modified Barthel index (MBI) were used to assess balance, walking and activities of daily living in stroke patients. Results: After treatment for 6 weeks, TCT scores, BBS scores and MBI scores were significantly increased in both two groups as compared with those before treatment with the difference being statistically significant (P<0.01). TCT scores, BBS scores, MBI scores and Holden walk functional class in scalp group were better than in kneeling group with the difference being statistically significant (P<0.05). Conclusion: Scalp combined with kneeling torso intensive training can significantly improve balance and walking abilities in stroke patients.