负荷控制的本体感觉训练对脑卒中患者平衡功能及下肢运动能力的影响

关键词：脑卒中  运动疗法  本体感觉训练  平衡功能  康复

Keywords:stroke  exercise therapy  proprioceptive training  balance function  rehabilitation

摘要：

      摘要 目的：探讨负荷控制下的本体感觉训练对脑卒中恢复期患者平衡功能及下肢运动功能的影响。 方法：61例脑卒中恢复期患者随机分为治疗组(31例)和对照组(30例),对照组患者采用Bobath技术为主的治疗；治疗组在常规康复训练的基础上运用Pro-Kin训练系统进行控制负荷的本体感觉训练,两组患者均进行8周治疗。比较两组患者治疗前后的下肢运动功能评分（简式Fugl-Meyer评价量表，FMA-L）、平衡功能评分（Berg平衡量表，BBS）、10m最大步行速度（MWS）及Barthel指数(BI)的变化。 结果：两组患者治疗前各项指标差异均无显著性意义(P>0.05),经过8周康复训练后的两组患者,治疗组的FMA-L、BBS、MWS、BI, 治疗前与治疗后分别为：20.9±4.9、28.0±3.3；33.4±6.9、52.1±3.2；32.4±22.7、71.7±42.4； 21.2±13.4、62.8±11.2；对照组的FMA-L、BBS、MWS、BI, 治疗前与治疗后分别为：21.9±2.7、24.5±2.3；32.2±6.1、39.3±3.6；31.2±23.4、58.5±39.6；20.8±14.1、43.2±12.7；两组治疗前后的各项功能指标变化差异有显著性意义(P<0.05)。组间比较，治疗组各项指标明显优于对照组(P<0.05)。 结论：负荷控制下的本体感觉训练对提高脑卒中恢复期患者平衡功能及下肢运动功能有积极作用，从而明显提高患者日常生活活动能力，值得推广应用。

Abstract:

      Abstract Objective: To observe the effects of proprioception training with load-control on lower extremity motor and balance function of stroke patients in recovery stage. Method: Sixty-one patients with stroke in recovery stage were randomly divided into treatment group (n=31) and control group(n=30). The control group was treated with conventional physiotherapy, such as Bobath technique. Based on conventional rehabilitation, the treatment group was given proprioception training with load-control by Pro-Kin system. Both two groups were treated for 8 weeks. The changes of 10-meter maximum walking speed(MWS), Berg balance scale(BBS), short-form FMA scale in lower extremity(FMA-L) assessment and Barthel index(BI) were compared between two groups before and after treatment. Result:Before treatment, all parameters had no significant difference between two groups(P＞0.05). Before and after 8-week treatment, the results of FMA-L，BBS，MWS，BI in treatment group were 20.9±4.9，28.0±3.3；33.4±6.9，52.1±3.2；32.4±22.7，71.7±42.4；21.2±13.4，62.8±11.2; 21.2±13.4，62.8±11.2 respectively. The results of FMA-L，BBS，MWS，BI in control group were 21.9±2.7，24.5±2.3；32.2±6.1，39.3±3.6；31.2±23.4，58.5±39.6；20.8±14.1,43.2±12.7 respectively. All function parameters changed significantly(P＜0.05),but the treatment group improve more than the control group(P＜0.05). Conclusion：The proprioception training with load-control have positive effects on improving lower extremity motor and balance function of stroke patients in recovery stage, it is worth to promote.