腰背肌抗阻训练对脑卒中后平衡功能和下肢运动功能的临床疗效观察

关键词：腰背肌  抗阻训练  脑卒中  平衡功能  运动功能

Keywords:back muscle  resistance training  stroke  balance function  motor function

摘要：

      摘要 目的：探讨腰背肌抗阻训练对脑卒中后平衡功能和下肢运动功能的疗效。 方法：2017年5月—2019年5月，选择符合纳入标准的患者60例，并随机分为试验组(n=30)和对照组(n=30)，试验组在常规康复训练20mins的基础上，增加腰背肌抗阻训练20mins；对照组采用常规康复训练40mins。两组每日训练1次，每周5次，持续3周。分别对两组患者在治疗前、治疗3周后采用Berg平衡功能评分(Berg balance scale， BBS)、下肢Fugl-Meyer量表(Fugl-Meyer assessment lower extremity， FMA-L)、10m最大步行速度测试(10m maximum walking speed， MWS)和站起-走计时测试(time up and go test， TUGT)进行评估。 结果：治疗3周后，两组患者Berg平衡功能评分、下肢Fugl-Meyer量表和10m最大步行速度测试均较治疗前均有提高(P<0.05)，站起-走计时测试均较治疗前有降低(P<0.05)；试验组Berg平衡功能评分、下肢Fugl-Meyer量表、10m最大步行速度测试和站起-走计时测试改善幅度较对照组显著(P<0.05)。 结论：腰背肌抗阻训练可显著改善脑卒中患者平衡功能和下肢运动功能。

Abstract:

      Abstract Objective： To investigate the effects of back muscle resistance training on balance function and lower extremity motor function in stroke patients. Method： From May 2017 to May 2019， 60 patients who met the inclusion criteria were selected and randomly divided into the experimental group (n=30) and the control group (n=30). On the basis of the conventional rehabilitation training for 20mins， the experimental group was trained with back muscle resistance training for 20mins. The control group received the conventional rehabilitation training for 40mins. Both groups trained once a day， 5 times a week， for 3 weeks. They were assessed with Berg balance function score (BBS)， lower limb Fugl-Meyer Scale (FMA-L)， 10m maximum walking speed test (MWS) and standing-Walking Timing test (TUGT)， before and at the end of 3-week treatment. Result： After 3-week treatment， Berg balance function score (BBS)， lower limb Fugl-Meyer Scale (FMA-L) and maximum walking speed test (MWS) of the 2 groups were all improved compared with those before treatment (P<0.05)， and standing-walking timing test (TUGT) decreased compared with that before treatment (P<0.05). The berg balance function score (BBS)， lower limb Fugl-Meyer Scale (FMA-L)， 10m maximum walking speed test (MWS) and standing-Walking timing test (TUGT) in the experimental group were significantly improved compared with those in the control group (P<0.05). Conclusion： Back muscle resistance training can significantly improve the balance function and lower extremity motor function in stroke patients.