CAJ | 학술논문

目的研究本体感觉训练对脑卒中偏瘫患者运动功能及日常生活活动能力的影响.方法将脑卒中偏瘫患者40例按随机数字表法分为治疗组(20例)和对照组(20例).2组患者均给予常规康复治疗及药物治疗,治疗组在此基础上辅以本体感觉训练.2组患者均于治疗前和治疗4周后(治疗后)采用Tecnobody本体感觉系统评估、Fugl-Meyer下肢运动功能评定(FMA)、Berg平衡最表(BBS)、改良Barthel指数评定表(BI)分别评估其本体感觉、下肢运动功能、平衡能力及日常生活活动能力.结果治疗后,治疗组患者本体感觉能力、下肢运动功能、平衡能力及日常生活活动能力均较治疗前有明显提高(P＜0.05)；对照组患者下肢运动功能、平衡能力及日常生活活动能力均较治疗前有明显提高(P＜0.05),但本体感觉能力较治疗前未见明显改善(P＞0.05)；组间比较发现,治疗组平衡能力及日常生活活动能力的改善优于对照组(P＜0.05).结论本体感觉训练能更好地改善脑卒中偏瘫患者的运动功能(包括本体感觉、平衡功能)及日常生活活动能力.
목적 연구본체감각훈련대뇌졸중편탄환자운동공능급일상생활활동능력적영향.방법 장뇌졸중편탄환자40례안수궤수자표법분위치료조(20례)화대조조(20례).2조환자균급여상규강복치료급약물치료,치료조재차기출상보이본체감각훈련.2조환자균우치료전화치료4주후(치료후)채용Tecnobody본체감각계통평고、Fugl-Meyer하지운동공능평정(FMA)、Berg평형최표(BBS)、개량Barthel지수평정표(BI)분별평고기본체감각、하지운동공능、평형능력급일상생활활동능력.결과 치료후,치료조환자본체감각능력、하지운동공능、평형능력급일상생활활동능력균교치료전유명현제고(P＜0.05)；대조조환자하지운동공능、평형능력급일상생활활동능력균교치료전유명현제고(P＜0.05),단본체감각능력교치료전미견명현개선(P＞0.05)；조간비교발현,치료조평형능력급일상생활활동능력적개선우우대조조(P＜0.05).결론 본체감각훈련능경호지개선뇌졸중편탄환자적운동공능(포괄본체감각、평형공능)급일상생활활동능력.
Objective To study the effects of proprioception training on the motor function and ability in the activities of daily living (ADL) of hemiplegic stroke patients. Methods Forty hemiplegic stroke patients were divided into study group and a control group ( n =20 in each).The two groups received conventional rehabilitation treatment and pharmacotherapy,but the study group received additional proprioception training.The Technobody proprioceptive system assessment,the Fugl-Meyer lower limb assessment (FMA),the Berg balance scale (BBS) and the modified Barthel index (MBI) were used to evaluate their proprioceptive ability,lower limb motor function,balance and ADL ability,before and after 4 weeks of treatment. Results After 4 weeks,proprioception,lower limb motor function,balance and ADL ability had all improved significantly in the experimental group.Lower limb motor function,balance and ADL ability had also improved significantly in the control group,but they showed no significant change in their average proprioceptive ability.The improvement in the experimental group was superior to that of the control group in terms of proprioceptive ability,balance and ADL ability. Conclusions Proprioception training can improve the motor function (including the proprioception and balance) and ADL ability of hemiplegic stroke patients.