平衡仪反馈训练法和Bobath平衡训练法对偏瘫患者平衡和功能性行走能力的影响

关键词：平衡训练 视觉反馈 偏瘫 脑卒中

Keywords:balance  balance master  balance training  visual feedback  hemiplegia  stroke

摘要：

      目的：探讨平衡仪反馈训练法和Bobath平衡训练法对偏瘫患者平衡和功能性行走能力的影响。方法：将符合试验条件的住院卒中患者分层随机分为试验组（20例）和对照组（20例），两组对象在试验开始前Berg平衡得分（BBS）、“起立-走”计时试验（Up＆Go）比较差异无显著性意义。试验组的平衡训练使用平衡仪视觉反馈法，对照组平衡训练使用Bobath平衡训练法，测试指标采用BBS和Up＆Go，在试验开始前和训练6周后各评定1次。结果：训练6周后试验组的BBS、Up＆Go均优于对照组比较差异具有显著性意义。结论：使用平衡仪训练对改善脑卒中患者的平衡和行走功能比单纯的Bobath平衡训练法更有效。

Abstract:

      Objective:To study the effect of visual feedback balance training and the Bobath balance training on the equilibrium and the mobility in hemiplegic patients. Method:Subjects were assigned randomly to either an experimental group(n=20) or a control group(n=20). Visual feedback balance training with Balance Master was used in the experimental group, and the Bobath balance training was used in the control group. Subjects were assessed using the Berg Balance Scale(BBS) and the Timed "Up & Go" Test before and after the 6 week-training. Result: There was no difference between the two groups in Berg Balance Scale and Timed "Up & Go" Test before the treatment. After the 6 week-training, both groups scored higher on the Berg Balance Scale and required less time to perform the Timed "Up & Go" Test. Furthermore, a comparison of mean changes revealed significant difference between the two groups. The experimental group was better than the control group on the two assessments. Conclusion:After the 6 week-training, the balance and mobility of the patients in the experimental group had a significant improvements when compared with the control group. For the balance and mobility of the stroke patients, the effect of visual feedback balance training with balance master is better than the Bobath balance training.