八段锦对脑卒中恢复期患者姿势控制能力及平衡能力的影响
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R277.7

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金华市中医药科学技术研究计划项目(2023KY30)


Effect of Baduanjin on Postural Control and Balance in Stroke Patients During the Recovery Phase
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    摘要:

    目的:观察八段锦对脑卒中恢复期患者姿势控制能力及平衡能力的影响。方法:选取2022年3月— 2023年12月东阳市中医院康复科接受治疗的140例脑卒中恢复期患者,按随机数字表法分为对照组及观察组 各70例。对照组采用神经内科常规处理方式治疗,观察组在对照组基础上加用八段锦训练治疗。比较2组治疗 前后脑卒中姿势评定量表评分(PASS)、Berg平衡量表评分(BBS)、双下肢体重分配比(WBL)、重心轨迹总 长度(TLCGT)、重心轨迹外周面积(PACGT)、轨迹飞行训练测试中前后、左右轨迹内有效时间(TTGTT) 的 变化。结果:治疗后,2组步长、步速、步频的步态时空参数值均较治疗前提升(P<0.05),观察组上述3项 步态时空参数值均大于对照组(P<0.05)。治疗后,2组姿势变换和维持的PASS评分均较治疗前升高(P< 0.05),观察组上述2 项PASS 评分均高于对照组(P<0.05)。治疗后,2 组BBS 评分均较治疗前升高(P< 0.05),观察组BBS评分高于对照组(P<0.05)。治疗后,2组睁眼WBL均较治疗前升高(P<0.05),观察组闭 眼WBL较治疗前升高(P<0.05),对照组WBL治疗前后比较,差异无统计学意义(P>0.05)。治疗后,观察 组睁眼WBL高于对照组(P<0.05),观察组闭眼WBL与对照组比较,差异无统计学意义(P>0.05)。治疗后, 2组睁眼TLCGT均较治疗前减少(P<0.05),观察组闭眼TLCGT较治疗前减少(P<0.05),对照组TLCGT治疗 前后比较,差异无统计学意义(P>0.05)。治疗后,观察组睁眼TLCGT短于对照组(P<0.05),观察组闭眼 TLCGT与对照组比较,差异无统计学意义(P>0.05)。治疗后,2组睁眼PACGT均较治疗前减小(P<0.05), 观察组闭眼PACGT较治疗前减小(P<0.05),对照组PACGT治疗前后比较,差异无统计学意义(P>0.05)。 治疗后,2组PACGT比较,差异无统计学意义(P>0.05)。治疗后,2组TTGTT值(前后时间、左右时间) 均 较治疗前升高(P<0.05),观察组TTGTT值(前后时间、左右时间) 均高于对照组(P<0.05)。结论:八段锦 训练可提高脑卒中恢复期患者的姿势控制能力及平衡能力,有利于康复。

    Abstract:

    Abstract: Objective: To observe the effects of Baduanjin on postural control and balance in stroke patients during the recovery phase. Methods: A total of 140 stroke patients in the recovery phase who were treated at the Department of Rehabilitation Medicine of Dongyang Traditional Chinese Medicine Hospital from March 2022 to December 2023 were selected and divided into a control group and an observation group,with 70 cases in each group, using a random number table method. The control group received conventional treatment of the Neurology Department, while the observation group received additional Baduanjin training on the basis of the control group. The Postural Assessment Scale for Stroke (PASS), Berg Balance Scale (BBS) scores, weight-bearing distribution ratio of both lower limbs (WBL), total length of center of gravity trajectory (TLCGT), peripheral area of center of gravity trajectory (PACGT),and effective time of anterior-posterior and left-right trajectories in the trajectory flight training test (TTGTT) were compared between the two groups before and after treatment. Results: After treatment, the gait temporal-spatial parameters (step length,step speed,and step frequency) in both groups were increased compared to those before treatment (P<0.05), with the observation group achieving higher values than the control group (P< 0.05). The PASS scores for posture change and maintenance were increased in both groups after treatment (P<0.05), with the observation group achieving higher scores than the control group (P<0.05). The BBS scores were increased in both groups after treatment (P<0.05),with the observation group achieving higher scores than the control group (P< 0.05). The open-eye WBL was increased in both groups after treatment (P<0.05), and the closed-eye WBL was increased in the observation group (P<0.05),while there was no significant difference in the control group (P>0.05). The open-eye WBL was higher in the observation group than in the control group after treatment (P<0.05),but there was no significant difference in the closed-eye WBL between the two groups (P>0.05). The open-eye TLCGT was decreased in both groups after treatment (P<0.05), and the closed-eye TLCGT was decreased in the observation group (P<0.05),while there was no significant difference in the control group (P>0.05). The open-eye TLCGT was shorter in the observation group than in the control group after treatment (P<0.05), but there was no significant difference in the closed-eye TLCGT between the two groups (P>0.05). The open-eye PACGT was decreased in both groups after treatment (P<0.05), and the closed-eye PACGT was decreased in the observation group (P<0.05), while there was no significant difference in the control group (P>0.05). There was no significant difference in PACGT between the two groups after treatment (P>0.05). The TTGTT values (anterior-posterior time and left-right time) were increased in both groups after treatment (P<0.05),with the observation group achieving higher values than the control group (P<0.05). Conclusion:Baduanjin training can improve postural control and balance in stroke patients during the recovery phase,which is beneficial for rehabilitation.

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杜腾飞,厉鑫,吴晓伟.八段锦对脑卒中恢复期患者姿势控制能力及平衡能力的影响[J].新中医,2025,57(15):56-61

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  • 在线发布日期: 2025-08-11
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