平衡仪训练对脑卒中患者平衡功能及跌倒风险的影响

目的:探讨Pro-Kin平衡训练对脑卒中患者平衡功能及跌倒风险的影响。方法:将脑卒中患者48例随机分为观察组和对照组各24例,2组均给予综合康复训练,观察组另外给予Pro-Kin平衡仪训练,对照组另外给予常规平衡训练。治疗前后,采用Berg平衡量表(BBS)、Fugl-Meyer平衡量表评定平衡能力,采用Holden步行能力分级量表(FAC)评定步行能力,采用巴氏指数(BI)评定日常生活能力,同时采用Berg平衡量表评估跌倒风险。结果:治疗后,2组BBS评分、Fugl-Meyer平衡量表、Holden步行分级、BI指数均较治疗前明显提高(均P0.05),且观察组BBS及FAC评分均高于对照组(均P0.05)。跌到风险评估显示,观察组跌倒风险下降率高于对照组(P0.05)。结论:平衡仪训练能够改善脑卒中患者的平衡功能,减少跌倒风险,Pro-Kin平衡训练效果更佳。

Effects of Pro-Kin balance training on balance and the risk of fall in stroke patients

Objective: To investigate the effects of Pro-Kin balance training on balance and the risk of fall in stroke patients. Method: All 48 stroke patients were randomized into treatment group (n=24) and control group (n=24). Both groups accepted normal rehabilitation therapies. The treatment group was treated with Pro-Kin balance equipment training additionally, and the control group with routine balance training additionally. The balance ability was assessed with the berg balance scale (BBS) and the Fugl-Meyer balance scale. The walking ability was assessed with the Holden walking ability scale (functional ambulation classification, FAC). The ability of daily living was assessed with the Barthel index (BI) before and after treatment. Meanwhile the BBS was used to evaluate the risk of fall. Results: After 6 weeks of treatment, the scores of BBS, Fugl-Meyer balance scale, FAC, and BI scales were elevated as compared with those before treatment (P<0.05), and BBS, FAC scores in the treatment group were significantly higher than those in the control group (P<0.05). The risk of fall in treatment group was far higher than in control group (P<0.05). Conclusion: Balance training can improve the balance ability in stroke patients, and reduce the risk of fall. The Pro-Kin balance training is more effective.