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目的探讨平衡训练对偏瘫患者步行能力的影响。方法42例偏瘫患者随机分成观察组和对照组,各21例,对照组只进行常规康复治疗,观察组在常规康复治疗基础上增加平衡功能训练。分别于治疗前、后应用Fugl-Meyer评定中的平衡功能评定法和Holden功能步行分类对患者的平衡功能和步行能力进行评定。结果治疗前,两组患者均不能独立步行,平衡积分无显著性差异(P>0.05);治疗后,观察组平衡积分优于对照组(P<0.05),独立步行达到71%,而对照组独立步行为51%,观察组优于对照组(P<0.05)。结论进行平衡功能训练对改善偏瘫患者平衡功能和步行能力有积极意义。
Objective To investigate the effect of balance training on the walking ability of patients with hemiplegia. Methods Forty-two patients with hemiplegia were randomly divided into observation group and control group, with 21 cases in each group. The control group received routine rehabilitation only. The observation group received balanced functional training on the basis of routine rehabilitation. The balance function and walking ability of the patients were evaluated before and after treatment by using the balance function evaluation method and the Holden functional walking classification in the Fugl-Meyer assessment. Results Before treatment, the two groups of patients could not walk independently and the balance points had no significant difference (P> 0.05). After treatment, the balance score of the observation group was better than that of the control group (P <0.05), independent walking reached 71% Independent walking was 51%, observation group was better than the control group (P <0.05). Conclusion The training of balance function is of great significance to improve the balance function and walking ability of patients with hemiplegia.