偏瘫患者躯干控制能力训练对平衡及下肢功能的影响

目的探讨脑卒中偏瘫患者躯干控制能力训练对其平衡功能和下肢功能的影响。方法将80例偏瘫患者随机分为治疗组和对照组，每组40例。治疗组在采用常规康复治疗的同时进行躯干控制能力训练，对照组采用常规康复治疗方法。治疗后2组患者分别采用躯干控制能力（Sheikh）评分、FMA平衡功能评分和下肢FMA评分进行比较。结果2组治疗前后比较和组间比较差异均有显著意义（p〈0.05）；2组变化均数比较，治疗组优于对照组（p〈0．001）。躯干控制能力分别与平衡功能和下肢功能成正相关。结论躯干控制能力训练对偏瘫患者平衡和下肢功能有良好的促进作用。

The Effect of Trunk Control Training on Balance and Lower Limb Function in Patients with Hemiplegia

Objective：To study the effect of trunk control training on balance and lower limb function in patients with cerebral apoplexy and hemiplegia after stroke.Methods：80 patients were randomly divided into treatment group（40 cases）and control group（40 cases）.The patient in the two groups were given reguldrly rehabilitation graining.Selective trunk activities were emphasized in treatment group as well.The trunk control function was assessed with Sheikh.The balance and lower limb functions were assessed with Fugl-Meyer.Result：The trunk control function scores and FMA scores in each group and between the two groups had significant control（p〈0.05）.The gain of scores in the treatment group was obviously superior to that in the control group （p〈0.001）.The trunk control function was positive correlation to the balance and lower limb.Conclusion： The trunk control training on the patients with hemiplegia after stroke may obviously improve the balance and lower limb function.