核心稳定性训练对脑卒中偏瘫患者上肢联合反应的效果.PDFVIP

中国康复理论与实践2016年12月第22卷第12期ChinJRehabilTheoryPract,Dec.,2016,Vol.22,No.12 - 1375 - DOI: 10.3969/j.issn. 1006-9771.2016.12.003 ·专题 · 核心稳定性训练对脑卒中偏瘫患者上肢联合反应的效果① 张微峰，姜冬蕾，马跃文 [摘要] 目的 观察核心稳定性训练(CST)对脑卒中偏瘫患者上肢联合反应的影响。方法 2014 年11月~2016 年5 月，脑卒中 偏瘫患者60 例随机分成对照组(n=30)和治疗组(n=30) 。两组均进行常规康复训练，治疗组在每次运动疗法训练中接受核心稳定性 训练20 min 。治疗前及治疗6 周时，采用简式Fugl-Meyer 评定量表上肢部分(FMA-UE)、下肢部分(FMA-LE) ，Berg 平衡量表 (BBS) ，联合反应分级量表(ARRS)进行评定。结果 治疗后，两组FMA-UE 、FMA-LE 、BBS 和ARRS 评分均较治疗前显著改善(t 12.158, P0.001) ，治疗组优于对照组(t2.317, P0.05) 。结论 核心稳定性训练能有效改善脑卒中偏瘫患者上肢联合反应。 [关键词] 脑卒中；偏瘫；核心稳定性训练；联合反应；运动功能 Effect of Core Stability Training on Associated Reaction of Upper Limb in Stroke Patients with Hemiplegia ZHANG Wei-feng, JIANG Dong-lei, MA Yue-wen Department of Rehabilitation Medicine, the First Affiliated Hospital of China Medical University, Shenyang, Liaon- ing 110001, China Correspondence to MA Yue-wen. E-mail: yuewen_m@ Abstract: Objective To observe the effect of core stability training on the associated reaction of upper limbs in stroke patients with hemiplegia. Methods From November, 2014 to May, 2016, sixty stroke patients with hemiplegia were randomly divided into control group (n=30) and treatment group (n=30). Both groups accepted routine rehabilitation, while the treatment group received core stability training for 20 minutes during exercise. They were assessed with Fugl- Meyer Assessment- Upper Extremities (FMA- UE), Fugl- Meyer Assess- ment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS) and Associated Reaction Rating Scale (ARRS) before and 6 weeks after treatment. Results The scores of FMA-UE, FMA-LE, BBS and ARRS improved significantly in both groups after treatment (t 12.158, P