摘要
目的观察核心稳定性训练联合眼针治疗对脑卒中偏瘫患者运动功能恢复的影响。方法采用随机数字表法将80例脑卒中偏瘫患者分为观察组及对照组，每组40例。2组患者均给予常规康复训练，观察组在此基础上辅以眼针治疗及核心稳定性训练（包括腰部、腹部肌群训练及肩胛骨、躯干、骨盆控制训练等）。于治疗前、治疗6周后对2组患者躯干控制能力、平衡功能、日常生活活动（ADL）能力、步行能力及肢体运动功能进行评定。结果治疗后2组患者躯干控制测试（TCT）评分、Berg平衡量表（BBS）评分、改良Barthel指数（MBI）、上肢及下肢Fugl—Meyer量表（FMA）评分、Holden步行功能分级（FAC）均较治疗前明显改善（P〈0．05），并且观察组患者TCT评分[（100±0）分]、BBS评分[（49．27±5．21）分]、MBI评分[（66．69±9．32）分]、上肢FMA评分[（35．58±9．18）分]、下肢FMA评分[（26．76±7．23）分]及FAC评分[（4．31±0．46）分]均显著优于对照组水平[分别为（92．15±7．39）分、（42．29±5．47）分、（56．22±9．81）分、（28．32±9．76）分、（21．32±7．76）分和（3．75±0．38）分]，组间差异均具有统计学意义（P〈0．05）。结论核心稳定性训练联合眼针治疗对提高脑卒中偏瘫患者运动功能具有显著疗效，该联合疗法值得临床推广、应用。
Objective To observe the effect of core stability training combined with eye acupuncture on motor function in patients with hemiplegia after stroke. Methods Eighty patients with hemiplegia after stroke were randomly divided into a treatment group and a control group （40 cases in each）. Both groups were given regular rehabilitation training, but the patients in the treatment group also were taught core stability training of their waist and abdominal muscle groups, their shoulder muscles, trunk and pelvis. They were also given eye acupuncture. A trunk control test （TCT） , Berg＇s balance scale （BBS） , the modified Barthel index （MBI） , functional ambulation categories （FACs） and the Fugl Meyer assessment scale （FMA） were used to assess motor function before and after treatment. Results At the end of 6 weeks of treatment, all of the measurements in both groups had significantly improved. The average TCT, BBS, MBI, FMA, and FAC scores of the treatment group significantly exceeded those of the control group. Conclusions Core stability training and eye acupuncture together can significantly improve the motor function of hemiplegic stroke survivors. The combination therapy is worthy of clinical popularization and application.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2015年第11期826-829,共4页
Chinese Journal of Physical Medicine and Rehabilitation
基金
广东省中医药管理局课题（20141280）
关键词
核心稳定性训练
眼针
偏瘫
平衡功能
步行能力
日常生活活动能力
上肢功能
下肢功能
Core stability training
Eye acupuncture
Hemiplegia
Balance
Walking
Activities of daily living
Upper-extremlty function
Lower-limb function
