CAJ | 학술논문

目的：探讨用Bobath球训练偏瘫患者躯干、骨盆及下肢，对其改善运动功能、平衡、日常生活活动能力及步行能力的影响。方法：将48例偏瘫患者随机分为对照组和观察组各24例，2组均进行常规康复治疗，而观察组则在常规训练基础上增加Bobath球训练患者的躯干、骨盆及下肢。治疗前后分别采用简化 Fugle-mayer评定法（FMA）、Berg平衡量表（BBS）、10m步行时间（10MWT）、6min内步行距离测定（6MWT）、Holden步行功能评定（FAC），以及改良Barthel指数（MBI）进行评定。结果：治疗4周后，2组患者FMA、BBS、MBI、FAC与6MWT评分均较治疗前明显提高（P＜0．01），且观察组更高于对照组（P＜0．05），2组10MWT 较治疗前明显减少（P＜0．01），且观察组更低于对照组（P＜0．05）。结论：在常规康复训练的基础上进行Bobath球训练偏瘫患者，可以改善其运动功能、平衡功能和日常生活活动能力，提高其步行能力。
목적：탐토용Bobath구훈련편탄환자구간、골분급하지，대기개선운동공능、평형、일상생활활동능력급보행능력적영향。방법：장48례편탄환자수궤분위대조조화관찰조각24례，2조균진행상규강복치료，이관찰조칙재상규훈련기출상증가Bobath구훈련환자적구간、골분급하지。치료전후분별채용간화 Fugle-mayer평정법（FMA）、Berg평형량표（BBS）、10m보행시간（10MWT）、6min내보행거리측정（6MWT）、Holden보행공능평정（FAC），이급개량Barthel지수（MBI）진행평정。결과：치료4주후，2조환자FMA、BBS、MBI、FAC여6MWT평분균교치료전명현제고（P＜0．01），차관찰조경고우대조조（P＜0．05），2조10MWT 교치료전명현감소（P＜0．01），차관찰조경저우대조조（P＜0．05）。결론：재상규강복훈련적기출상진행Bobath구훈련편탄환자，가이개선기운동공능、평형공능화일상생활활동능력，제고기보행능력。
Objective :To discusses the effects of Bobath ball training for trunk ,pelvis and lower limbs on balance and walking ability of patients with stroke-induced hemiplegia .Methods :The 48 patients were randomized into ob-servation group and control group (n=24 each) .All patients received standard physiotherapy ,and the patients in ob-servation group were given the Bobath ball training for the trunk ,pelvis and lower limbs additionally .Patients was respectively evaluated using Simplified Fugle-mayer assessment (FMA) ,the Berg Balance Scale (BBS) ,10-m walk-ing time test (10MWT) ,6-min walking distance test (6MWT) ,Holden walking function classification (FAC) ,and modified Barthel index (MBI) .Results :The FMA ,BBS ,MBI ,FAC ,10MWT and 6MWT scores in two groups were all increased after treatment for 4 weeks as compared with those before treatment (P<0 .01) ,more significantly in observation group than in control group (P<0 .05) .Conclusion:The Bobath ball training on the basis of convention-al rehabilitation training in patients with hemiplegia can improve the motor function ,balance function and activities of daily living ,and w alking ability .