悬吊核心稳定训练对脑卒中恢复期患者平衡功能和步行能力的影响

目的:观察悬吊核心稳定训练对脑卒中偏瘫患者平衡和步行能力的影响。方法:选择符合治疗条件的56例患者随机分为A组和B组各28例,A组采用常规康复训练,包括平衡训练、PNF技术、Bobath技术、姿势控制训练等,按照预先设计好的动作进行训练,每天50min。B组按照A组相同训练计划每天训练30min,加用悬吊运动疗法进行训练20min,持续治疗30个工作日。分别对2组患者治疗前、治疗后采用简易下肢Fugl-Meyer运动功能量表(FMA)、Berg平衡功能评分(BBS)、Lindmark平衡反应测试评分、10m最大步行速度进行评估。结果:治疗后,2组患者下肢FMA、BBS、Lindmark平衡反应测试评分、10m最大步行速度均较治疗前明显提高(均P0.05);并且B组下肢FMA、BBS评分、10m最大步行速度的改善幅度较A组显著(均P0.05)。结论:悬吊核心稳定训练可以改善脑卒中恢复期患者的平衡功能和步行能力。

Effects of sling exercise training for core stability on balance function and walking ability in patients with stroke in recovery period

Objective: To observe the effects of sling core stability training exercise on the balance and walking ability in patients with cerebral apoplexy hemiplegia. Methods: Fifty-six patients eligible for treatment were randomly divided into group A and group B (n=28 each). The conventional rehabilitation training was adopted by a pre-designed action in group A and group B, including balance training, PNF technology, and training of Bobath technology, posture control, 30 min and 50 min every day respectively, for 30 days. Additionally, the group B used the sling therapy for 20 min, 30 days. Simple lower limb Fugl-Meyer scale, Berg balance function score, Lindmark balance reaction test score, and 10-m maximum walking speed were applied for assessment before and after treatment. Result: After treatment, the simple lower limb Fugl-Meyer scale scores, Berg balance function scores, Lindmark balance reaction test scores, and 10-m maximum walking speed were significantly increased in both two groups as compared with those before treatment (P<0.05), more significantly in group B than in group A (P<0.05). Conclusion: Sling exercise training for core stability can improve the balance and walking function of patients with stroke in recovery period.