首页|核心肌群稳定性训练对脑卒中后偏瘫患者步行功能的影响

核心肌群稳定性训练对脑卒中后偏瘫患者步行功能的影响

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目的 探讨核心肌群稳定性训练在提高脑卒中后偏瘫患者步行功能中的应用.方法 选取广西壮族自治区江滨医院 2022 年11月—2023 年11 月收治的 84 例脑卒中后偏瘫患者为研究对象,按随机数字表法将其分为对照组和观察组,每组 42 例.对照组采用常规康复干预,观察组在对照组的基础上结合核心肌群稳定性训练干预.比较两组患者的平衡功能、步态分析、运动耐力、运动功能.结果 干预后,观察组睁、闭眼状态时运动长度均短于对照组,运动椭圆面积均小于对照组,组间差异有统计学意义(P<0.05);观察组步长长于对照组,步速快于对照组,步宽、步行周期均短于对照组,组间差异有统计学意义(P<0.05);观察组 6 min步行试验距离为(182.62±3.43)m,长于对照组的(141.83±3.41)m,Fugl-Meyer运动功能评定量表-下肢部分评分为(23.32±2.45)分,高于对照组的(19.65±2.07)分,组间差异有统计学意义(P<0.05).结论 核心肌群稳定性训练对脑卒中后偏瘫患者的步态有明显的改善作用,还可提高其平衡功能及运动耐力,进而使其运动功能得到提升.
Influence of Core Muscle Stability Training on Walking Function in Patients with Hemiplegia after Stroke
Objective To explore the application of core muscle stability training in improving walking function in patients with hemiplegia after stroke.Methods A total of 84 patients with hemiplegia after stroke admitted to Jiangbin Hospital of Guangxi Zhuang Autonomous Region from November 2022 to November 2023 were selected as the research objects,and were divided into a control group and an observation group according to random number table method,with 42 cases in each group.The control group received routine rehabilitation intervention,and the observation group combined core muscle stability training intervention on the basis of the control group.Balance function,gait analysis,exercise endurance and exercise function were compared between the two groups.Results After the intervention,in the observation group,the exercise length were shorter than those in the control group,and elliptical area with eyes open and colsed were smaller than those in the control group,the difference was statistically significant(P<0.05);the step length of the observation group was longer than thant in the control group,the step speed was faster than that in the control group,and the step width and walking cycle were shorter than those in the control group,and the differences were statistically significant(P<0.05);the 6-min walking test in the observation group was(182.62±3.43)m,which was longer than(141.83±3.41)m of the control group,and the Fugl-Meyer Motor Function Rating Scale-lower extremity score was(23.32±2.45)points,which was higher than(19.65±2.07)points of the control group,and the differences were statistically significant(P<0.05).Conclusion Core muscle stability training can significantly improve the gait of patients with hemiplegia after stroke,and can also improve their balance function and exercise endurance,so as to improve their exercise function.

Hemiplegia after strokeCore muscle stability trainingBalance functionExercise enduranceexercise function

秦宗娟、莫小樱、覃香妹、陈月静、董奎

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广西壮族自治区江滨医院物理治疗科,广西南宁 530021

广西壮族自治区人民医院睡眠医学科,广西南宁 530021

脑卒中后偏瘫 核心肌群稳定性训练 平衡功能 运动耐力 运动功能

广西医疗卫生适宜技术开发与推广应用项目广西壮族自治区卫生健康委自筹经费科研课题

S2022031Z-A20230255

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(11)