摘要
目的:观察强化多平面躯干训练结合双重任务训练对脑卒中患者平衡、活动能力和跌倒风险的疗效.方法:选取符合标准的脑卒中患者84例,随机分为研究组和对照组,各42例.对照组给予传统康复治疗,研究组在对照组治疗基础上予以强化多平面躯干训练,并结合双重任务训练,分别在干预前后采用躯干损伤量表(TIS)、Berg平衡量表(BBS)、10m步行测试(10-MWT)、起立-行走测试(TUG)、Fugl-Meyer运动功能评估量表下肢部分(FMA-LE)、改良Barthel指数(MBI)对患者进行评估治疗效果.结果:干预4周后、干预后3个月及6个月随访,2组患者TIS、10-MWT、FMA-LE、BBS、MBI评分高于干预前(P＜0.05),2组TUG评分低于干预前(P＜0.05),研究组TIS、10-MWT、FMA-LE、BBS、MBI评分均高于对照组(P＜0.05),研究组TUG评分低于对照组(P＜0.05).结论:强化多平面躯干训练结合双重任务训练能显著改善脑卒中患者平衡、活动能力和日常生活能力,降低跌倒风险.
Abstract
Objective:To observe the effects of intensive multiplanar trunk training combined with dual-task train-ing on balance,mobility and fall risk in stroke patients.Methods:Totally,84 stroke patients were randomly as-signed to the experimental group(n=42)and control group(n=42).The control group was given the traditional rehabilitation treatment program,and the experimental group was given intensive multiplane trunk training com-bined with dual-task training during the trunk training of the traditional rehabilitation treatment program,and the patients in each group were treated for 5 days a week for a total of 4 weeks.The primary outcome measure of the experimental and control groups was the trunk impairment scale(TIS)score.Secondary outcomes were Berg bal-ance scale(BBS),10-meter walk test(10-MWT),time up and go test(TUG),Fugl-Meyer assessment-lower ex-tremity(FMA-LE),modified Barthel Index(MBI)scores.All outcomes were performed before the intervention,assessed at 4th week post-intervention,and followed up at 3rd and 6th months post-intervention.Results:After 4 weeks of intervention,3 months of follow-up,and 6 months of follow-up,the scores of TIS,BBS,10-MWT,TUG,FMA-LE,and MBI were significantly improved in the two groups as compared with those before treatment(P＜0.05).The comparison between the two groups showed that the scores of each index in the experimental group were better than those in the control group,and the differences were statistically significant(P＜0.05).There was an interaction between the group and the intervention before and after the intervention,and the improvement in the experimental group was more obvious than that in the control group(P＜0.05).Conclusion:Intensive multiplane trunk training combined with dual-task training can significantly improve balance,mobility,and daily living ability of stroke patients,and reduce the risk of falls.
维普
万方数据