作　　者： (毛利）; (牟翔）; (袁华）; (胡旭）; (林小东）;

机构地区： 第四军医大学第一附属医院康复理疗科,陕西西安市710032

出　　处： 《中国康复理论与实践》 2017年第8期928-931,共4页

摘　　要： 目的探索椭圆运动对脑卒中偏瘫患者平衡和步行能力的影响。方法 2016年9月至12月,40例卒中后偏瘫患者随机分为对照组(n=20)和观察组(n=20)。两组均接受常规康复治疗,在此基础上对照组接受抛接球训练,观察组接受椭圆运动结合抛接球训练,每次20 min,每周6次,连续6周。治疗前后分别采用Fugl-Meyer感觉功能评定(FMA-S)、Fugl-Meyer下肢运动功能评定(FMA-LE)、Berg平衡量表(BBS)和"起立-行走"计时测试(TUGT)进行评价。结果治疗后,两组FMA-S评分、FMA-LE评分和BBS评分均显著提高(t>10.012,P<0.05),TUGT时间显著缩短(t>10.001,P<0.001);观察组各评分均高于对照组(t>2.129,P<0.05),TUGT时间短于对照组(t>4.669,P<0.05)。结论椭圆运动有助于提高脑卒中偏瘫患者的平衡及步行能力。 Objective To investigate the effect of elispheric motion on balance and walking ability of hemiplegic patients after stroke.Methods From September to December,2016,40 hemiplegic patients after stroke were randomly divided into control group（n=20） and observation group（n=20）.Both groups received conventional rehabilitation,additionally,the control group received juggling ball training,and the observation group received elispheric motion combined with juggling ball training,20 minutes a day,six days a week for six weeks.They were assessed with the Fugl-Meyer Assessment-Sensory（FMA-S）,Fugl-Meyer Assessment-Lower Extremity（FMA-LE）,Berg Balance Scale（BBS） and Timed ＂Up and Go＂ Test（TUGT） before and six weeks after training.Results After training,the scores of FMA-S,FMA-LE,BBS significantly increased（t10.012,P〈0.05） in both groups,and were higher in the observation group than in the control group（t2.129,P〈0.05）;the time of TUGT significantly shortened（t10.001,P〈0.001） in both groups,and were shorter in the observation group than in the control group（t4.669,P〈0.05）.Conclusion Elispheric motion can facilitate to improve the balance and walking ability of hemiplegic patients after stroke.

关 键 词： 脑卒中 偏瘫 椭圆运动 任务训练 平衡 步行能力