陳定定　魏文著　劉小瓊

[摘要] 目的 觀察阿基米德運(yùn)動懸吊系統(tǒng)治療腦卒中后平衡功能障礙的臨床療效。方法 方便選取2015年1月—2016年12月在沈陽渾河新城中西醫(yī)結(jié)合醫(yī)院康復(fù)二科住院的存在卒中后平衡功能障礙的患者共100例，隨機(jī)分為2組，對照組采用傳統(tǒng)平衡訓(xùn)練治療，觀察組采用阿基米德運(yùn)動懸吊系統(tǒng)訓(xùn)練治療。采用Berg平衡量表、Barthel指數(shù)量表及Lindmark平衡反應(yīng)測試評分評估患者平衡功能。 結(jié)果 治療后兩組患者平衡功能均有改善（P<0.05）。觀察組治療后第2周與治療前比較BBS（t=2.35，P=0.002）、BI（t=1.28，P=0.004）、Lindmark評分（t=-1.04，P=0.003）；對照組第2周與治療前比較BBS（t=2.55，P=0.011）、BI（t=5.5，P=0.034）、Lindmark評分（t=8.8，P=0.043）；治療后2周兩組比較無明顯差異（三個指標(biāo)P=1.3，0.8，0.4，P>0.05）。治療6周后觀察組較對照組3個量表評分提高顯著（P<0.05）。兩組比較BBS（t=2.6，P=0.041）、BI（t=1.1，P=0.038）、Lindmark評分（t=6.9，P=0.031）差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論 阿基米德運(yùn)動懸吊系統(tǒng)和傳統(tǒng)平衡訓(xùn)練對腦卒中平衡障礙患者平衡功能的恢復(fù)均有改善作用。阿基米德運(yùn)動懸吊系統(tǒng)較傳統(tǒng)平衡訓(xùn)練對患者的平衡功能恢復(fù)作用更大。

[關(guān)鍵詞] 阿基米德運(yùn)動懸吊系統(tǒng)；腦卒中；平衡功能；康復(fù)

[中圖分類號] R4 [文獻(xiàn)標(biāo)識碼] A [文章編號] 1674-0742（2018）07（c）-0083-04

Archimedean Sports Suspension System for the Treatment of Stroke Balanced Dysfunction

LI Xiao-quan1， ZHANG Lei2

1.Department of Rehabilitation， Second Hospital of Integrated Traditional Chinese and Western Medicine of Hunhe New City， Shenyang， Liaoning Province， 110010 China； 2.Department of Urology， Second Hospital， Shenyang Red Cross Hospital， Shenyang， Liaoning Province， 110013 China

[Abstract] Objective To observe the clinical efficacy of the Archimedes motion suspension system in the treatment of poststroke balance dysfunction. Methods Convenient select a total of 100 patients with post-stroke balance dysfunction admitted to the Department of Rehabilitation， Second Hospital of Integrated Chinese and Western Medicine Hospital from January 2015 to December 2016 were randomly divided into two groups. The control group was treated with traditional balance training. The observation group was treated with the Archimedean sports suspension system. Patients' balance function was assessed using the Berg Balance Scale， Barthel Index Scale， and the Lindmark Balanced Response Test Score. Results 1.After treatment， the balance functions of the two groups were improved （P<0.05）. BBS （t=2.35， P=0.002）， BI （t=1.28， P=0.004） in the observation group 2 weeks after treatment compared with before treatment， the Lindmark score（t=1.04， P=0.003）； BBS was compared between the control group and the first week of treatment （t=2.55， P=0.011）， BI （t=5.5， P=0.034）， Lindmark score （t=8.8， P=0.043）； two weeks after treatment. There was no significant difference（P=1.3， 0.8， 0.4，（P>0.05）. After 2 weeks of treatment， the scores of the three scales in the observation group were significantly higher than those in the control group （P<0.05）. The two groups were compared BBS （t=2.6， P=0.041）， BI （t=1.1， P=0.038）， Lindmark score（t=6.9， P=0.031）. Conclusion Archimedean exercise suspension system and traditional balance training can improve the recovery of balance function in patients with stroke balance disorder. The Archimedean sports suspension system has a greater effect on the balance function recovery of the patient than traditional balance training.