摘要
目的:探讨家属指导的髋外展肌群训练对偏瘫患者的影响。方法:50例卒中患者,随机分入家庭组和治疗师组各25例,2组患者均接受相同的常规康复治疗。在此基础上,家属指导家庭组患者进行髋外展肌群训练,治疗师指导治疗师组患者进行髋外展肌群训练。分别在治疗前和治疗6周后采用Berg平衡量表(BBS)、Fugl-Meyer下肢运动功能评定(FMA-LE)、徒手肌力检查(MMT)、Holden功能性步行量表(FAC)及功能独立性测量(FIM)中的"行走/轮椅"进行评定。结果:治疗6周后,2组的BBS、FMA-LE、MMT、FAC及FIM量表评定均较治疗前明显提高(P<0.05),2组间比较均差异无统计学意义。结论:家属指导的髋外展肌群训练和治疗师指导的髋外展肌群训练均能明显改善脑卒中患者的平衡和步行能力,且2组效果无明显差异,提示髋外展肌群训练可加入家庭康复。
Objective：To investigate the effect of supervisory hip abductor trainings by family members in hemiplegic patients.Method：Fifty hemiplegic patients after stroke were randomly divided into family group（n=25）and therapist group（n=25）.Both two groups received the same conventional rehabilitation therapies.The family member trained hip abductor of patients in the family group,and the physical therapist trained hip abductor of patients in the therapist group（40min/day,6days/week for consecutive 6weeks）.All patients were assessed before and 6weeks after trainings with Berg balance scale（BBS）,Fugl-Meyer assessment of lower extremity（FMA-LE）,manual muscle testing（MMT）,Holden functional ambulation category scale（FAC）and ＂ walk/wheelchair＂ of functional independence measurement（FIM）.Results：After trainings for 6weeks,both groups had significant improvement in BBS,FMA-LE,MMT,FAC and FIM（P〈0.05）,but there was no significant difference between two groups.Conclusion：Both supervisory hip abductor trainings of hemiplegic patients after stoke by family member and therapist can improve balance and gait.The study revealed supervisory hip abductor trainings can be involved in home rehabilitation of hemiplegic patients.
出处
《中国康复》
2017年第4期302-305,共4页
Chinese Journal of Rehabilitation
关键词
髋外展肌群训练
偏瘫
家庭康复
hip abductor training
hemiplegia
home rehabilitation
