转移任务中的骨盆调控训练对早期脑卒中患者运动能力影响的研究

许如炜1, 2 , 林枫1 , 范友强2 , 汤从智2 , 卞忠凯2 , 姜亚娜3

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转移任务中的骨盆调控训练对早期脑卒中患者运动能力影响的研究

  • 许如炜1,2 ,林枫1 ,范友强2 ,汤从智2 ,卞忠凯2 ,姜亚娜3
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Study on the Effect of Pelvic Regulation Training in Transfer Tasks on the Motor Ability of Early Stroke Patients

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摘要

目的:探讨转移任务中的骨盆调控训练对早期脑卒中患者运动能力的影响。方法:选取病程<1个月
的脑卒中患者共60例,随机分为试验组30例和对照组30例。2组均给予常规康复治疗,对照组增加标准化
的转移任务训练,试验组增加改良性的以骨盆调控为核心的转移任务训练,治疗 2 周。治疗前后均采用
Berg平衡量表(Berg Balance Scale,BBS)、修订的巴氏指数(Modified Barthel Index,MBI)、Holden功能性步
行量表(Functional Ambyiation Category scale,FAC)、表面肌电时域指标中的均方根值(Root Mean Square,
RMS)对 2 组患者进行评价,并将试验组治疗后测得的 RMS 值和 BBS、MBI、FAC 评价指标进行相关性分
析。结果:治疗前,2组患者BBS、MBI、FAC、RMS评价指标差异均无统计学意义(P>0.05)。治疗后,2组的
BBS、MBI、FAC、RMS均较治疗前明显改善(P<0.001),试验组的BBS、MBI、FAC、RMS评价指标均优于对
照组(P<0.05),治疗后试验组的RMS值与BBS、MBI、FAC明显相关(P<0.001)。结论:在常规康复治疗的
基础上增加改良性的以骨盆调控为核心的转移任务训练可显著改善早期脑卒中患者的平衡功能、ADL、步
行能力,且骨盆调控能力是提高早期脑卒中患者运动能力的重要因素。

Abstract

To investigate the impact of pelvic regulation training during transfer tasks on the motor
ability of patients with early-stage stroke. Methods: A total of 60 stroke patients with a disease duration of less
than 1 month were selected and randomly divided into an experimental group (n=30) and a control group (n=30).
Both groups received conventional rehabilitation therapy. The control group received additional standardized
transfer task training, while the experimental group received modified transfer task training centered on pelvic
regulation. The treatment lasted for 2 weeks. Before and after treatment, both groups were evaluated using the
Berg Balance Scale (BBS), Modified Barthel Index (MBI), Functional Ambulation Category scale (FAC), and
the Root Mean Square (RMS) value, a time-domain indicator of surface electromyography. Additionally, a
correlation analysis was conducted between the post-treatment RMS values and the BBS, MBI, and FAC
evaluation indicators in the experimental group. Results: Before treatment, there were no statistically significant
differences in the BBS, MBI, FAC, and RMS evaluation indicators between the two groups (P>0.05). After
treatment, both groups showed significant improvements in BBS, MBI, FAC, and RMS compared to before
treatment (P<0.001). The experimental group outperformed the control group in terms of BBS, MBI, FAC, and
RMS evaluation indicators (P<0.05). In the experimental group, the post-treatment RMS values were
significantly correlated with BBS, MBI, and FAC (P<0.001). Conclusion: Incorporating modified transfer task
training centered on pelvic regulation into conventional rehabilitation therapy can significantly improve the
balance function, activities of daily living (ADL), and walking ability of patients with early-stage stroke.
Moreover, pelvic regulation ability is a crucial factor in enhancing the motor ability of these patients.

关键词

转移任务
/ 脑卒中早期 / 骨盆调控 / 平衡功能 / 日常生活活动能力 / 步行能力

Key words

transfer task
/ early stage of stroke / pelvic control / balance function / activities of daily living / walk-
ing ability

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导出引用
许如炜1, 2 , 林枫1 , 范友强2 , 汤从智2 , 卞忠凯2 , 姜亚娜3.
转移任务中的骨盆调控训练对早期脑卒中患者运动能力影响的研究
[J]. 神经损伤与功能重建. 0
Study on the Effect of Pelvic Regulation Training in Transfer Tasks on the Motor Ability of Early Stroke Patients
[J]. Neural Injury and Functional Reconstruction. 0

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