摘要
目的:观察悬吊训练(SET)对脑卒中患者平衡功能恢复的影响。方法:脑卒中平衡功能障碍患者40例,随机分为对照组和观察组各20例,2组均接受常规康复训练,在此基础上,观察组加以悬吊训练。治疗前和治疗4周后采用Berg平衡量表(BBS)、Barthel指数(BI)以及采集竖脊肌表面肌电平均肌电值(AEMG)和中位频率值(MF)对2组患者进行评定。结果:治疗4周后,2组BBS、BI评分均明显高于治疗前(均P<0.01),且观察组以上评分均明显高于对照组(均P<0.05)。治疗前,2组患者AEMG、MF值组内比较健侧均明显高于患侧(均P<0.05);治疗4周后,2组患者健患侧竖脊肌AEMG、MF值均较治疗前明显提高(均P<0.05),观察组健患侧AEMG、MF值均较对照组明显提高(均P<0.05),但观察组健患侧AEMG、MF值之间无统计学差异。结论:SET能够改善脑卒中患者的竖脊肌AEMG、MF值及BBS和BI评分,提高脑卒中患者躯干肌肉运动功能,从而提高平衡功能以及日常生活活动能力,值得在临床推广应用。
Objective:To observe the effect of sling exercise therapy(SET)on the recovery of balance function in stroke patients.Methods:Totally,40 patients with stroke recovery were randomly divided into control group and treatment group with 20 cases each.The control group and treatment group received routine rehabilitation training,and the treatment group received SET additionally.Before and after 4 weeks of treatment,the patients were assessed using Berg Balance Scale(BBS),Barthel Index(BI),the average EMG(AEMG)and median frequency(MF)values of the erector spinal muscle surface electromyography.Results:After 4 weeks of treatment,the BBS score and BI value in the two groups were significantly higher than those before treatment(all P<0.01),and those in the treatment group were significantly higher than those in the control group(all P<0.05).Before treatment,the AEMG and MF values of the un-affected side in the two groups were significantly higher than those of the affected side(both P<0.05);after 4 weeks of treatment,the AEMG and MF values of the erector spinae of the un-affected side in the two groups were significantly higher than those before treatment(all P<0.05).The AEMG and MF values of the un-affected side in the treatment group were significantly higher than those in the control group(all P<0.05),but there was no statistically significant difference in the AEMG and MF values between the two sides in the treatment group.Conclusion:SET can improve the AEMG,MF value,BBS and BI scores of erector spinae in patients with stroke,improve the motor function of trunk muscles in patients with stroke,thereby improving the balance function and activities of daily living,which is worthy of clinical application.
作者
李琳
杜俊涛
童心
徐磊
Li Lin;Du Juntao;Tong Xin(Department of Rehabilitation Medicine, First Affiliated Hospital of Bengbu Medical College, Bengbu 233004, China)
出处
《中国康复》
2021年第12期717-720,共4页
Chinese Journal of Rehabilitation
基金
安徽高校自然科学研究项目(KJ2019A0397)。
关键词
悬吊训练
脑卒中
平衡功能障碍
表面肌电图
sling exercise therapy
stroke
balance dysfunction
surface electromyography
