摘要
目的:探讨减重平衡训练法与促通技术平衡训练法对提高脑卒中恢复期患者平衡功能及日常生活活动(ADL)能力的差异。方法:85例脑卒中恢复期(病程1～6个月)偏瘫患者随机分为治疗组(减重平衡法训练组)42例和对照组(促通技术法平衡训练组)43例。治疗组用美国产Pnew-weight减重支持系统对患者进行坐位或站位平衡训练。对照组用神经肌肉发育促进技术训练坐位或站位三级平衡。两组患者都做平衡训练1个月,每天练习平衡能力30min,每周训练6d。对全部85例患者的平衡能力用Berg平衡量表(bergbalancescale,BBS)来评价;ADL用日常生活活动分析评估表来评价。治疗前后组内比较、治疗后组间比较进行统计分析。结果:治疗组治疗前后BBS评分分别为27.10±15.52和43.56±16.24,差异有非常显著性意义(t=4.80,P<0.01);活动分析评分分别为34.69±16.51和51.26±15.12,差异有非常显著性意义(t=4.86,P<0.01)。对照组治疗前后BBS评分分别为29.61±14.33和36.53±15.58,差异有显著性意义(t=2.21,P<0.05);活动分析评分分别为31.24±15.62和43.36±17.21,差异有非常显著性意义(t=3.37,P<0.01)。两组治疗后比较,BBS评分差异有显著性意义(t=2.04,P<0.05);活动分析评分差异有显著性意义(t=2.25,P<0.05)。
AIM:To study the difference between supported balance training and neurodevelopmental technique(NDT) balance training in improving the balance and activities of daily living(ADL) in convalescent stroke patients. METHODS:Eighty five convalescent stroke patients(course of disease,1-6 months) were randomly divided into intervention group(supported balance training group,42 patients) and control group(NDT balance training group,43 patients).Pnew weight PWSS made in America was used in the intervention group to train sitting or standing balance.But NDT balance training was used in the control group to train the third degree sitting and standing balance.Patients in the two groups practiced balance for one month,30 minutes per day,6 days per week.The balance abilities of 85 patients were evaluated by Berg balance scale(BBS),and their ADL was evaluated by ADL activities analytic scale.Pre treatment and post treatment intra group comparison,and post treatment inter group comparison were analyzed statistically. RESULTS:In the intervention group,the pre treatment and post treatment BBS were 27.10±15.52 and 43.56±16.24 respectively,with significant difference(t=4.80,P< 0.01),and the pre treatment and post treatment ADL activities analytic scales were 34.69±16.51 and 51.26±15.12 respectively,also with significant difference(t=4.86,P< 0.01).In the control group,BBS were 29.61±14.33 and 36.53±15.58 respectively(t=2.21,P< 0.05),and ADL activities analytic scales were 31.24 ±15.62 and 43.36±17.21 respectively(t=3.37,P< 0.01).For the inter group comparison,there were significant differences in BBS(t=2.04,P< 0.05) and ADL activities analytic scale(t=2.25,P< 0.05). CONCLUSION:Supported balance training was superiorly efficient to NDT balance training in improving balance and ADL in convalescent stroke patients.
出处
《中国临床康复》
CSCD
2004年第34期7620-7621,共2页
Chinese Journal of Clinical Rehabilitation
