环境激发干预对老年脑卒中偏瘫病人下肢运动功能的影响

doi:10.3969/j.issn.1003-9198.2023.06.008

实用老年医学 ›› 2023, Vol. 37 ›› Issue (6): 569-572.doi: 10.3969/j.issn.1003-9198.2023.06.008

环境激发干预对老年脑卒中偏瘫病人下肢运动功能的影响

庄鑫, 张超, 徐花, 孟庆宇, 吴丽丽, 丁雨晴, 张虔, 张丽霞

210024 江苏省南京市,南京医科大学附属老年医院康复医学科(庄鑫,徐花,孟庆宇,吴丽丽,丁雨晴,张虔,张丽霞);
223800 江苏省宿迁市,宿迁市康复医院成人康复中心(张超)

收稿日期:2022-07-27 出版日期:2023-06-20 发布日期:2023-06-29
通讯作者: 张丽霞,Email:Lxzhang16@sina.com
基金资助:
南京医科大学科技发展基金项目(NMUB20210169);江苏省卫健委老年医学临床技术应用研究项目(LD2021007)

Effect of environmental stimulation intervention on lower limbs motor function in elderly patients with post-stroke hemiplegia

ZHUANG Xin, ZHANG Chao, XU Hua, MENG Qing-yu, WU Li-li, DING Yu-qing, ZHANG Qian, ZHANG Li-xia

Department of Rehabilitation Medicine, Geriatric Hospital Affiliated to Nanjing Medicial University, Nanjing 210024, China(ZHUANG Xin, XU Hua, MENG Qing-yu, WU Li-li, DING YU-qing, ZHANG Qian, ZHANG Li-xia);
Adult Rehabiliation Center, Suqian Rehabiliation Hospital, Suqian 223800, China(ZHANG Chao)

Received:2022-07-27 Online:2023-06-20 Published:2023-06-29
Contact: ZHANG Li-xia,Email:Lxzhang16@sina.com

摘要/Abstract

摘要： 目的探讨环境激发干预对老年脑卒中偏瘫病人下肢运动功能的影响。方法将60例符合入组标准的老年脑卒中后偏瘫病人按照随机数表法分为观察组30例和对照组30例。对照组进行常规运动康复训练,观察组进行环境激发干预。于治疗前、治疗4周后分别对2组病人采用下肢Fugl-Meyer运动功能量表(FMA-L)、10 m步行测试(10MWT)、改良Barthel指数量表(MBI)进行评估。结果治疗前2组FMA-L、10MWT、MBI差异均无统计学意义(P＞0.05),治疗后2组FMA-L、10MWT、MBI均较治疗前改善 (P＜0.05),且观察组改善较对照组更为显著(P＜0.05)。结论环境激发干预能有效改善偏瘫病人下肢运动功能和日常生活活动能力。

关键词: 环境激发干预, 老年人, 脑卒中偏瘫, 下肢, 运动功能

Abstract: Objective To investigate the effect of environmental stimulation intervention on motor function of lower limbs in the elderly patients with post-stroke hemiplegia. Methods Sixty elderly patients with post-stroke hemiplegia who met the inclusion criteria were divided into the observation group(n=30) and the control group(n=30) according to the random number table method. The control group underwent conventional rehabilitation training and the observation group underwent environmental stimulation intervention. The Fugl-Meyer Motor Function Scale of the Lower Extremity (FMA-L), the 10-m walk test (10MWT) and the Modified Barthel Index (MBI) were measured in the two groups before and after 4 weeks of treatment, respectively. Results After 4 weeks of treatment, the levels of FMA-L,10MWT and MBI in both groups were improved(P＜0.05), especially in the observation group (P＜0.05). Conclusions The environmental stimulation intervention can improve the motor function of lower limbs and the ability of daily living in the elderly patients with post-stroke hemiplegia.

Key words: environmental stimulation intervention, aged, post-stroke hemiplegia, lower limb, motor function

中图分类号:

R 743
R 493

庄鑫, 张超, 徐花, 孟庆宇, 吴丽丽, 丁雨晴, 张虔, 张丽霞. 环境激发干预对老年脑卒中偏瘫病人下肢运动功能的影响[J]. 实用老年医学, 2023, 37(6): 569-572.

ZHUANG Xin, ZHANG Chao, XU Hua, MENG Qing-yu, WU Li-li, DING Yu-qing, ZHANG Qian, ZHANG Li-xia. Effect of environmental stimulation intervention on lower limbs motor function in elderly patients with post-stroke hemiplegia[J]. Practical Geriatrics, 2023, 37(6): 569-572.

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环境激发干预对老年脑卒中偏瘫病人下肢运动功能的影响

Effect of environmental stimulation intervention on lower limbs motor function in elderly patients with post-stroke hemiplegia

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