摘要
目的:观察感觉运动训练方案分别由脑卒中患者的照顾者和物理治疗师实施对患者平衡和日常生活活动的影响。方法:40例脑卒中后出院患者按照随机数字表分为实验组(照顾者组)和对照组(物理治疗师组),每组20例。实验组由经过物理治疗师培训且考核合格后的照顾者实施感觉运动训练方案,对照组由熟练操作的物理治疗师在患者家里实施该方案。每次1.5 h,每周3次,共实施8周。选用Berg平衡量表(BBS)和改良Barthel指数(MBI)分别评估患者的平衡和日常生活活动能力,治疗前后分别对2组病例进行1次评估,3个月后再进行1次随访评估。结果:8周感觉运动训练后,2组BBS、MBI评分均较治疗前明显升高,差异有统计学意义(P<0.01)。3个月后随访,2组BBS、MBI评分较治疗8周后明显升高,差异有统计学意义(P<0.01)。不同时间BBS、MBI评分组间比较,差异均无统计学意义(P>0.05)。结论:治疗师、照顾者执行治疗方案对治疗结果没有明显影响。感觉运动训练是中、轻度运动功能障碍脑卒中患者家庭康复的有效方法,能在短期内继续提高或维持患者的平衡和日常生活活动能力。
Objective： To obtain the popularization of this appropriate training program from hospital to patients＇ family, we would evaluate the changes of the balance and activity of daily living （ADL） of home-based rehabilitation in patients with stroke through sen- sorimotor training program performed by either the therapists or patients＇ carers. Methods ：According to the random number table 40 discharged patients with stroke were randomly assigned to experimental group （the caters group） and control group （the therapists group）, and 20 patients in each group. In the experimental group, the patient＇s carers were educated and examined for the training pro- gram, only the patient＇s earers passing the examination were eligible to execute the training. In the control group, the training was per- formed by the skillful therapists. The training in two groups was 1.5 hours each time ,three times per week, consecutive eight weeks. The Berg balance scale （BBS） and modified Barthel index （MBI） were used to evaluate the balance and ADL,and the patients re- ceived the above evaluations before and after the eight-weeks-training, and 3 months of follow-up. Results：After the eight-week-pro- gram, the BBS and MBI in the two groups were increased significantly （P〈 0.01 ）. After 3 months of follow-up, the BBS and MBI in the two groups were fi.u＇ther increased （P〈0.01）. However,there was no significant difference between the two groups in the BBS and MBI （P〉 0.05 ）. Conclusion：After sensorimotor training, the BBS and MBI in the two groups were increased, and the ability of bal- ance of patients had obvious progress. However, there was no obvious effect on treatment outcome whether the sensorimotor training program performed by the therapists or patients＇ caters. The sensorimotor training of home-based rehabilitation was an effective way for stroke patients with mild or moderate motor function handicap, and the training program can improve or maintain the ability of bal- ance and ADL of patients in a short term.
作者
李奎
郑海清
李鑫
郝元涛
LI Kui ZHENG Haiqing LI Xin HAO Yuantao(The Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510630, China College of Public Health, Sun Yat-sen University, Guangzhou, Guangdong 510080, China)
出处
《康复学报》
2016年第4期11-16,共6页
Rehabilitation Medicine
基金
广东省科技计划项目(2012B031800059)
关键词
家庭康复
感觉运动训练
脑卒中
平衡
日常生活活动
照顾者
home-based rehabilitation, sensorimotor training, stroke, banlance, activity of daily living, carers
