Bobath球训练对脑卒中偏瘫患者运动功能的影响

目的 探讨Bobath球训练对脑卒中偏瘫患者运动功能的影响。方法 将40例脑卒中偏瘫患者随机分为A、B两组,每组20例,两组均予常规康复治疗。A组在常规治疗基础上增加Bobath球训练,每次20分钟,每周治疗6次,治疗4周。2组均于治疗前及治疗4周后采用Fugl-Meyer运动功能评定量表(FMA)、Berg平衡量表(BBS)和改良Bethel指数评定表(BI)分别评定运动功能、平衡能力及日常生活能力。结果 治疗前,两组FMA、BBS及BI评分比较差异均无统计学意义(P>0.05)。经过4周治疗后, 两组各项疗效指标均较治疗前有明显改善 (P<0.05), 且A组的改善程度显著优于B组, 两组比较差异具有统计学意义(P<0.05)。结论 Bobath球训练能更好改善脑卒中偏瘫患者的运动功能、平衡及日常生活能力。

Effect of Bobath ball training on motor function in hemiparetic stroke patients

Objective To explore the effect of Bobath training on motor function in stroke patients with hemiplegia.Methods A total of 40 cases of stroke patients with hemiplegia were randomly divided into A group (20 cases) and B group (20 cases), both groups were treated with conventional rehabilitation therapy. Moreover, additional external Bobath ball training was given on A group with 20 min each time for 6 times a week for 4 weeks. Before and after treatment, motor function, balance ability and daily life ability were assessed using Fugl-Meyer Locomotor Rating Scale (FMA), Berg Balance Scale (BBS) and Modified Barthel Index Assessment Scale (BI).Results Before treatment, there was no significant difference between two groups. After 4 weeks of treatment, the levels of FMA, BBS and BI were significantly improved in both groups, and the improvement of group A was superior to that of group B (P<0.05).Conclusion Bobath ball training can better improve motor function, balance and daily life ability.