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以任务为导向的康复治疗改善脑卒中患者平衡及步行功能的疗效观察 被引量:25

Effects of Task-oriented Training on Balance Function and Waking Ability in Stroke Patients
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摘要 目的:探讨以任务为导向的康复治疗对脑卒中患者平衡及步行功能的影响。方法:脑卒中偏瘫患者20例,随机分为2组。第1组10例,采用以神经发育学疗法为原则的平衡及步态训练。第2组10例采用"以任务为导向"的康复治疗,即按照第1组训练方法进行循环训练,强调患者的注意力集中到动作的目标上。治疗前后均采用Berg平衡量表(BBS)、起立-行走计时测试(TUG)及5m步行测试(5m-WT)评定2组患者平衡能力及步行功能。结果:治疗4周后,2组BBS评分及5m-WT与治疗前比较均有明显提高,TUG所用时间明显降低(均P<0.05);2组间比较,第2组各项指标改变值明显高于第1组(均P<0.05)。结论:"以任务为导向"的康复治疗更有针对性,对脑卒中患者平衡能力及步行能力的提高有捉进作用。 Objective:To study the effect of task-oriented training on balance function and waking ability in stroke patients.Methods:Twenty stroke patients were assigned randomly to either experimental group(n=10) or control group(n=10).The experimental group received task-oriented training on lower limbs,and the control group received neurodevelopmental treatment on lower limbs.Subjects were assessed with 5-meter Walk Test (5m-WT),Berg Balance Scale(BBS) and Timed "up and go"(TUG) test before and 4 weeks after training.Results:After training for 4 weeks,both groups scored higher on 5m-WT and BBS and lower on TUG test than before training.There were significantly higher scores on 5m-WT and BBS and significantly lower scores on TUG test in experimental group than in control group.Conclusion:Task-oriented training was more effective for improving balance function of stroke patients.
出处 《中国康复》 2011年第4期256-258,共3页 Chinese Journal of Rehabilitation
关键词 以任务为导向的康复治疗 脑卒中 运动再学习 平衡功能 步行功能 task-oriented training stroke motor relearning balance function walking ability
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参考文献14

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