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步态适应性训练联合核心稳定训练用于脑卒中后偏瘫的价值

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目的:探讨步态适应性训练联合核心稳定训练用于脑卒中后偏瘫的价值.方法:选取2021年1 月—2023 年 5 月上饶市中医院收治的 82 例脑卒中后偏瘫患者,随机将患者分为常规组和联合组,每组41 例.常规组采用常规训练进行干预,联合组采用步态适应性训练联合核心稳定训练进行干预,联合组和常规组患者均持续干预 2 个月.在干预后,比较联合组和常规组患者日常生活能力(ADL)评分、美国国立卫生研究院卒中量表(NIHSS)评分、Fugl-Meyer运动功能量表(FMA)评分、躯干功能障碍量表(TIS)评分.结果:与干预前比较,干预后联合组和常规组患者ADL评分均升高、NIHSS评分均降低,干预后,联合组患者ADL评分高于常规组、NIHSS评分低于常规组,差异均有统计学意义(P<0.05).与干预前比较,干预后,联合组和常规组患者上肢运动功能和下肢运动功能FMA评分均升高,干预后,联合组患者上肢运动功能和下肢运动功能FMA评分均高于常规组,差异均有统计学意义(P<0.05).与干预前比较,干预后联合组和常规组患者静态坐位平衡、协调、动态坐位平衡评分均升高,干预后,联合组患者静态坐位平衡、协调、动态坐位平衡评分均高于常规组,差异均有统计学意义(P<0.05).结论:步态适应性训练联合核心稳定训练能够改善患者神经功能和运动功能,提高日常生活能力.
Application Value of Gait Adaptation Training Combined with Core Stabilization Training in Post-stroke Hemiplegia
Objective:To explore the application value of gait adaptation training combined with core stabilization training in post-stroke hemiplegia.Method:A total of 82 patients with post-stroke hemiplegia admitted to Shangrao City Hospital of Traditional Chinese Medicine from January 2021 to May 2023 were enrolled and randomly divided into routine group and combination group,with 41 cases in each group.The routine group was given routine training,while combination group was given gait adaptation training combined with core stabilization training.Both the combination group and the routine group received continuous intervention for 2 months.After intervention,scores of activity of daily living scale(ADL),national institutes of health stroke scale(NIHSS),Fugl-Meyer assessment scale(FMA)and trunk impairment scale(TIS)were compared between the two groups.Result:Compared with those before intervention,after intervention,ADL scores were increased and NIHSS scores were decreased in both groups,after intervention,ADL score in combination group was higher than that in routine group,and NIHSS score was lower than that in routine group,the differences were statistically significant(P<0.05).Compared with those before intervention,after intervention,FMA scores of upper limb and lower limb were increased in both groups,those in combination group were higher than those in routine group,the differences were statistically significant(P<0.05).Compared with those before intervention,after intervention,scores of static sitting balance,coordination and dynamic sitting balance were increased in both groups,those in combination group were higher than those in routine group,the differences were statistically significant(P<0.05).Conclusion:Gait adaptation training combined with core stabilization training can improve nerve function,motor function and activities of daily living.

Gait adaptation trainingCore stabilization trainingStrokeHemiplegia

刘志华、郑鹏、叶建德

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上饶市中医院康复医学科 江西 上饶 334000

步态适应性训练 核心稳定训练 脑卒中 偏瘫

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(12)
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