太极拳对脑卒中偏瘫患者平衡功能及步行能力的影响-中国康复医学杂志.PDFVIP

ChineseJournalofRehabilitationMedicine, May 2016,Vol. 31, No.5 ·临床研究· 太极拳对脑卒中偏瘫患者平衡功能及 步行能力的影响* 付常喜 张秋阳1 2 摘要 目的：探讨太极拳对脑卒中偏瘫患者平衡功能及步行能力的影响。 方法：将Brunnstrom 肢体功能恢复分期Ⅳ期、平衡功能障碍Berg 评分21—40 分、步行功能障碍（FAC ）Ⅲ级的60 例 无严重认知和言语障碍的脑卒中患者随机分为对照组（30 例）和观察组（30 例），两组均采用常规运动疗法、作业疗 法、物理因子疗法，观察组在常规康复训练基础上施加太极拳训练，两组均为1次/d ，40min/次，6d/周，8 周后观察临 床疗效。治疗前后分别采用躯干功能量表（TIS ）、平衡功能量表（BBS ）、步行功能（FAC ）和10m 最大步行速度 （MWS ）进行指标测评。 结果：两组患者治疗前TIS 值、BBB 值、FAC 以及10mMWS 评定无显著差异性（P ＞0.05 ）。经8 周康复训练治疗后， 对照组各测评指标较治疗前有非常显著性改善（P ＜0.01 ）；观察组各项指标均显著优于对照组（P0.05 ）。 结论：在常规康复训练治疗基础上辅以太极拳训练对脑卒中偏瘫患者改善平衡功能、提高步行能力均具有显著促进作用。 关键词 太极拳；脑卒中；平衡功能；步行能力 中图分类号:R743.3 文献标识码：A 文章编号：1001-1242（2016 ）-05-0536-04 Effects of taijiquan on balance function and walking ability of stroke hemiplegic patients in convalescent phase/FUChangxi，ZHANGQiuyang//Chinese Journal ofRehabilitation Medicine, 2016, 31(5): 536—539 Abstract Objective: To explore the effects of taijiquan on balance function and walking ability of stroke hemiplegic pa- tients in convalescent phase. Method: By experiment, 60 patients with the lower limb in Brunnstrom stage of Ⅳ, Berg balance scale(BBS) 21—40 points, walking ability impairment grade Ⅲ, without severe cognitive and speech disorder were random- ly divided into control group (n=30) and observation group (n=30).Both groups received conventional rehabilita- tion training, just as exercise therapy, occupational therapy and physiotherapy, the observation group received tai- jiquan exercise for 8 weeks in addition. The abilities of balance and walking were assessed with trunk impair- ment scale (TIS), the Berg balance scale(BBS), Holden functional ambulation classification （FAC ）and 10m maximum walking speed (MWS) before and after treatment. Result: All the scores of TIS,BBS,FAC and 10mMWS improved after treatment in