前庭旋转训练对脑卒中偏瘫患者平衡功能的影响

目的探讨前庭旋转训练对脑卒中患者平衡功能的影响。方法46例脑卒中偏瘫患者随机分成两组:治疗组23例,采用前庭旋转训练,配合常规康复训练;对照组23例,仅进行常规康复训练。每天1次,每周训练6次,共4周。评价指标采用Berg平衡量表、Fugl-Meyer运动评分和Barthel指数法。每位患者均在治疗开始前和全部治疗结束后进行评定。结果两组对象在试验开始前评价指标比较差异无统计学意义,训练4周后治疗组的平衡、运动功能和生活活动能力均有明显改善,与对照组比较差异有统计学意义(P<0.05)。结论前庭旋转训练对脑卒中患者的平衡功能恢复比单纯常规康复训练具有更佳的疗效,且平衡能力的改善有助于脑卒中患者下肢运动功能及日常生活活动能力的提高。

Effects of vestibular rotation exercise on the balance function of stroke patients

Objective To observe the effects of vestibular rotation exercise on the balance function of stroke patients.Methods 46 cases were assigned randomly to either an experimental group(n=23)or a control group(n=23).Both groups received routine therapy. In addition,the treatment group received the training of vestibular rotation exercise for a session,6 days a week.4 weeks were one complete duration.Subjects were assessed using the Berg balance scale test, the FMA test and the Barthel Test before and after the training.Results There was no difference between the two groups in the three tests before the treatment.After 4 weeks' training,a comparison of mean changes revealed significant difference between two groups.The experimental group was better than the control group on the three assessments.Conclusions The vestibular rotation exercise on the balance function of stroke patients is better than the routine therapy,and the improvement of balance function is benefit to the motor function of lower extremities and ability of daily life of stroke patients.