强化屈髋训练对脑卒中偏瘫患者下肢运动功能的影响

目的探讨强化屈髋训练对偏瘫患者下肢运动功能恢复的影响。方法将72例脑卒中偏瘫患者随机分为强化曲髋训练组（强训组）和常规康复训练组（对照组）各36例。对照组进行常规康复治疗，强训组在常规康复治疗的基础上进行强化屈髋训练。治疗前后两组进行下肢简式运动评分（Fugl—Meyer assessment，FMA）评定，比较各组治疗前后及两组治疗后FMA评分。结果两组治疗前下肢运动功能评分比较无显著性差异（P〉0．05），两组康复训练后下肢功能运动评分均较训练前升高，差异有显著性（P〈0．05）；并且强训组评分高于对照组，差异亦有显著性（P〈0．05）。结论强化屈髋训练对脑卒中偏瘫患者下肢运动功能恢复有良好的促进作用，值得临床推广应用。

The effects of intensified hip flexion training on stroke patients with lower limb motor function

ObjectiveTo investigate the effect of intensified hip flexion training on the stroke patients with lower limb motor function.Methods72 patients with hemiplegic stroke were randomly divided into intensified hip flexion training group(36 cases) and conventional rehabilitation group(control group with 36cases).The limb motor function were assessed with Fugl-Meyer assessment(FMA) before and 4 weeks after treatment.ResultsBefore the treatment,there was no significant difference in the general date between the two groups(P>0.05).After four weeks treatment,in both groups the scores of FMA improved significantly compared with before training(P<0.05).Compared with control group,the scores of FMA in experiment group increased significantly when after four weeks training(P<0.05).ConclusionIntensified hip flexion training have a good role in promoting the lower extremity motor function in patients with hemiplegia.