摘要
目的探讨下肢改良强制性运动疗法对脑卒中患者动态平衡能力、异常步行运动的影响。方法回顾性选取84例脑卒中患者,根据疗法分为运动疗法组和对照组,各42例。对照组给予活动关节、躯干肌控制训练、髋关节控制训练、膝关节控制训练等,运动疗法组在对照组的基础上运用下肢改良强制性运动疗法。治疗前后采用Berg平衡量表评定动态平衡能力,采用FMA-L量表评定患者的异常步行运动能力,采用功能步行量表(FAC)评估患者步行功能,采用日常生活活动能力(ADL)评分评估患者生活能力,采用量角器测量患者的膝关节屈曲、踝关节背伸、髋关节伸展、髋关节屈曲能力,统计临床疗效,观察患者的病变性质发生率。结果两组患者治疗前动态平衡能力、异常步行运动能力、膝关节屈曲、踝关节背伸、髋关节伸展、髋关节屈曲能力、ADL评分、FAC分级0~2级及3~5级比例比较,差异均无统计学意义(t分别=0.21、0.48、0.22、0.09、0.29、0.03、0.06,χ^(2)分别=0.19、0.19,P均>0.05);治疗后运动疗法组动态平衡能力、异常步行运动能力评分、前膝关节屈曲、踝关节背伸、髋关节伸展、髋关节屈曲能力、ADL评分、FAC分级3~5级比例高于对照组,FAC 0~2级比例低于对照组,差异均有统计学意义(t分别=10.19、7.35、7.59、6.36、9.57、6.73,χ^(2)分别=4.26、4.26,P均<0.05)。运动疗法组总有效率高于对照组,病变性质发生率低于对照组,差异均有统计学意义(χ^(2)分别=8.57、6.78,P均<0.05)。结论下肢改良强制性运动疗法可改善脑卒中患者的动态平衡能力、异常步行运动能力。
Objective To explore the effect of modified compulsory exercise therapy on dynamic balance ability and abnormal walking movement in stroke patients.Methods Toally 84 stroke patients were retrospectively selected and di⁃vided into exercise therapy group and control group,42 patients in each.The control group was given the training of mov⁃able joint,trunk muscle control training,hip control training and knee control training,and the exercise therapy group re⁃ceived the modified lower limb compulsory exercise therapy on the basis of the control group.Before and after treatment,Berg balance scale was used to assess dynamic balance ability,FMA-L scale was used to assess abnormal walking abili⁃ty,FAC grade was used to evaluate walking function,and ADL score was used to assess living ability.The knee flexion,ankle back extension,hip extension,and hip flexion ability were measured,the clinical efficacy and incidence of lesions were recorded.Results There were no significant differences in dynamic balance,abnormal walking,knee flexion,ankle back extension,hip extension,hip flexion,ADL score,the proportion of grade 0-2 and 3-5 between two groups before treatment(t=0.21,0.48,0.22,0.09,0.29,0.03,0.06,χ^(2)=0.19,0.19,P>0.05).After treatment,the dynamic balance score,abnormal walking score,the angles of knee flexion,ankle back extension,hip extension,and hip flexion,ADL score,the proportion of grade 3-5 were higher than those of control group,while the proportion of grade 0-2 was significantly lower than control group(t=10.19,7.35,7.59,6.36,9.57,6.73,χ^(2)=4.26,4.26,P<0.05).The total effective rate in the exercise therapy group was higher than that in the control group,and the difference was statistically significant(χ^(2)=8.57,P<0.05),while the incidence of lesion nature was lower than that in the control group(χ^(2)=6.78,P<0.05).Conclusion Modified compulsory exercise therapy for lower limbs can improve dynamic balance and abnormal walking exercise in stroke patients.
作者
吴盈盈
卢阳
WU Yingying;LU Yang(Zhejiang Chinese Medical University,Hangzhou 311800,China)
出处
《全科医学临床与教育》
2023年第9期797-800,813,共5页
Clinical Education of General Practice
基金
浙江省自然科学基金项目(LQ19H100003)。
关键词
改良强制性运动疗法
脑卒中
动态平衡能力
异常步行运动
modified compulsory exercise therapy
stroke
dynamic balance ability
abnormal walking move⁃ments
