目的:探讨作业疗法辅助核心稳定训练在脑卒中偏瘫患者中的应用效果.方法:选取 2021 年5 月至 2023 年5 月期间本院综合康复治疗区收治的脑卒中偏瘫患者 90 例作为研究对象.采用随机数字表法将患者分为对照组和观察组,每组各 45 例.对照组接受核心稳定训练;观察组在对照组基础上辅助实施作业疗法.分析比较两组的平衡功能(Berg平衡量表(Berg balance scale,BBS))、运动功能(最大步行速度(Maximum walking speed,MWS)、起立-行走计时测试(Timed Up and Go Test,TUGT))以及日常生活能力(日常生活活动能力量表(Activity of Daily Living Scale,ADL)).结果:干预后,两组的BBS评分均有所升高(P＜0.05),且观察组的BBS评分较对照组显著提高(P＜0.05).干预后,两组的MWS增加、TUGT缩短,且观察组的MWS显著高于对照组,TUGT显著短于对照组(P＜0.05).干预后,两组的ADL评分均有所增高,且观察组的ADL评分显著高于对照组(P＜0.05).结论:作业疗法辅助核心稳定训练应用于脑卒中偏瘫患者康复干预中,能提升患者的平衡功能和运动功能,强化患者的日常生活能力.
Application of occupational therapy combined with core stabilization training in stroke patients with hemiplegia
Objective:To investigate the application effect of occupational therapy combined with core stabilization training in stroke patients with hemiplegia.Methods:90 patients with stroke hemiplegia who were admitted to the comprehensive rehabilitation area of our hospital from May 2021 to May 2023 were selected as the study objects.Patients were divided into control group and observation group with 45 cases in each group by random number table method.The control group received core stability training;Observation group received occupational therapy based on control group.Balance function(Berg Balance Scale(BBS)),motor function(Maximum walking speed(MWS),standing and walking Timing test(TUGT))and daily living ability(ADL)of the two groups were analyzed and compared.Results:After intervention,the BBS scores of both groups were increased(P<0.05),and the BBS scores of the observation group were significantly increased compared with the control group(P<0.05).After intervention,MWS increased and TUGT shortened in both groups,and MWS in observation group was significantly higher than that in control group,TUGT was significantly shorter than that in control group(P<0.05).After intervention,the ADL score of both groups was increased,and the ADL score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion:The combined application of core stability training and occupational therapy in rehabilitation intervention of stroke patients with hemiplegia can improve patients'balance function and motor function,and strengthen patients'daily living ability.
StrokeHemiplegiaCore stability trainingOccupational therapyBalance functionMotor function
万方数据
维普
