标题：核心稳定性训练对脑梗死偏瘫患者运动功能的影响

      作者：赵春香 1，赵雅宁 2，黄海玲 1，郝树红 3，张晋冀 1，李金明 3，王瑞刚 1    1.华北理工大学附属医院康复科，河北 唐山 063000；2.华北理工大学，河北 唐山 063000；3.玉田县医院神经外科，河北 玉田 064100

      卷次： 2019年30卷8期

      【摘要】 目的 探讨核心稳定性训练在脑梗死偏瘫患者中的应用效果。方法 选取华北理工大学附属医院2015年 10月至 2017年 10月收治的脑梗死偏瘫患者 176例，采用随机数表法分为对照组和观察组，每组 88例，对照组实施常规康复治疗，观察组联用核心稳定性训练，疗程 3个月，于训练前后行平衡功能和活动功能评定。结果 与本组训练前比较，两组患者训练后的Fugl-Meyer运动功能评分(FMA)、Berg平衡量表(BBS)评分、功能性步行量表(FAC)分级、粗大运动功能测量表66 (GMFM-66)评分、躯干损害量表(TIS)评分、日常生活活动能力(ADL)评分、10 m最大步行速度(10 m MWS)、生活质量(QOL)评分均增加，稳定指数(SI)评分均降低，差异均有统计学意义(P<0.05)；组间比较，观察组患者训练后的FMA评分、BBS评分、FAC分级、GMFM-66评分、TIS评分、ADL评分、10 m MWS、QOL评分均高于对照组，SI评分低于对照组，差异均有统计学意义(P<0.05)。结论 核心稳定性训练可改善脑梗死偏瘫患者的平衡功能和活动功能。
      【关键词】 核心稳定性训练；脑梗死偏瘫；平衡功能；活动功能；生活质量
      【中图分类号】 R743.33 【文献标识码】 A 【文章编号】 1003—6350（2019）08—1021—04

Influence of core stability training on motor function in patients with hemiplegia following cerebral infarction.ZHAO Chun-xiang 1, ZHAO Ya-ning 2, HUANG Hai-ling 1, HAO Shu-hong 3, ZHANG Jin-ji 1, LI Jin-ming 3, WANGRui-gang 1.
1. Physiatry Department, North China University of Science and Technology Affiliated Hospital, Tangshan063000, Hebei, CHINA; 2. North China University of Science and Technology, Tangshan 063000, Hebei, CHINA; 3. MilitarySursery, Yutian County Hospital, Yutian 064100, Hebei, CHINA
【Abstract】 Objective To investigate the application effect of core stability training in patients with hemiplegiafollowing cerebral infarction. Methods A total of 176 patients with hemiplegia following cerebral infarction admittedto North China University of Science and Technology Affiliated Hospital from October 2015 to October 2017 were ran-domly divided into control group and observation group, with 88 cases in each group. The control group received routinerehabilitation treatment, and the observation group was treated with a combination of core stability training. Thetreatment lasted for 3 months, and the balance function and activity function were assessed before and after train-ing. Results Compared with the scores before training, the scores increased in two groups after training, includingFugl-Meyer Assessment (FMA), Berg Balance Scale (BBS), Functional Ambulation Categories (FAC), Gross MotorFunction Measure-66 (GMFM-66), Trunk Impairment Scale (TIS), activities of daily living (ADLs), 10 m maximumwalking speed (MWS), and quality of life (QOL); while Stability Index (SI) score decreased in two groups after training(P<0.05). After training, the FMA score, BBS score, FAC score, GMFM-66 score, TIS score, ADL score, 10 m MWSscore, and QOL score in the observation group were higher than those in the control group; while the SI score in the ob-servation group was lower than that in the control group (P<0.05). Conclusion Core stability training can improve bal-ance function and activity function in patients with hemiplegia following cerebral infarction.
      【Key words】 Core stability training; Hemiplegia following cerebral infarction; Balance function; Activity func-tion; Quality of life