CAJ | 학술논문

目的：探讨跪位躯干强化训练对脑卒中偏瘫患者运动功能的影响。方法将符合入选条件的脑卒中偏瘫患者40例随机分为观察组和对照组，每组各20例，2组均采用常规康复治疗，在此基础上，观察组加入跪位躯干强化训练方法。2组患者每天训练1次，每次60 min，每周练习6 d，持续6周。治疗前后分别用Berg平衡量表（BBS），起立-行走测试（TUGT）、改良Barthel指数（MBI）评定平衡、步行功能和日常生活活动能力（ADL）的变化。结果6周治疗后，2组BBS、MBI评分较治疗前均有提高（P＜0.05），TUGT较治疗前均缩短（P＜0.05）；观察组的BBS、TUGT、MBI值均优于对照组（P＜0.05）。结论跪位躯干强化训练能有效提高脑卒中偏瘫患者的平衡、步行功能，提高患者ADL。
목적：탐토궤위구간강화훈련대뇌졸중편탄환자운동공능적영향。방법장부합입선조건적뇌졸중편탄환자40례수궤분위관찰조화대조조，매조각20례，2조균채용상규강복치료，재차기출상，관찰조가입궤위구간강화훈련방법。2조환자매천훈련1차，매차60 min，매주연습6 d，지속6주。치료전후분별용Berg평형량표（BBS），기립-행주측시（TUGT）、개량Barthel지수（MBI）평정평형、보행공능화일상생활활동능력（ADL）적변화。결과6주치료후，2조BBS、MBI평분교치료전균유제고（P＜0.05），TUGT교치료전균축단（P＜0.05）；관찰조적BBS、TUGT、MBI치균우우대조조（P＜0.05）。결론궤위구간강화훈련능유효제고뇌졸중편탄환자적평형、보행공능，제고환자ADL。
Objective To investigate the kneeling position torso strengthening training on motor function in stroke patients. Methods 40 cases of stroke patients who met the inclusion criteria were randomly divided into observation group and control group, 20 cases in each group, both group with conventional rehabilitation therapy, on the basis of the observation group to join kneeling position torso intensive training methods. Two groups of patients trained daily, every 60 minutes, practicing six days a week for six weeks. Before and after treatment they were measured with the Berg Balance Scale (BBS), timed up and go test (TUGT), modified Barthel Index (MBI) assessed balance, walking function and activities of daily living (ADL) changes. Results After 6 weeks, both groups' BBS and MBI scores were increased (P<0.05), TUGT were shorter compared with pre-treatment (P<0.05);BBS, TUGT, MBI values of observed group were better than those of the control group (P<0.05). Conclusion The kneeling position torso intensive training can effectively improve the balance of stroke patients, and can improve walking function and daily activities of patients.