脑卒中患者躯干控制与平衡、上肢及下肢功能的关系

Zekiye Kirmaci, Nevin Ergun
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摘要

身体的中心是躯干。对于远端肢体运动、平衡和功能性任务,近端躯干控制是至关重要的。本研究旨在探讨脑卒中患者躯干控制与平衡、上肢及下肢功能的关系。本横断面描述性研究纳入了36例脑卒中患者。躯干控制采用躯干损伤量表(TIS)评估,平衡评价采用Berg平衡量表(BBS),下肢功能评价采用Fugl-Meyer下肢功能量表(FML),上肢功能评价采用Fugl-Meyer上肢功能量表(FMU)。纳入的脑卒中患者平均年龄为62±11岁。TIS与BBS呈中度负相关(r=-0.610, p<0.01)。TIS与FML呈中度负相关(r=-0.520, p=0.001)。TIS与FMU呈低负相关(r=-0.372, p=0.025)。躯干控制影响平衡、下肢和上肢功能。在脑卒中患者的治疗中,除了基本的神经生理学方法外,还应在康复计划中加入运动方法来控制躯干。
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The relationship of trunk control with balance, upper extremity and lower extremity functions in stroke patients
The center of the body is the trunk. For distal extremity movements, balance, and functional tasks, proximal trunk control is crucial. The aim of the study is to examine the relationship of trunk control with balance, upper extremity and lower extremity functions in stroke patients. Thirty-six stroke patients were included in this cross-sectional descriptive study. Trunk control was assessed using the Trunk Impairment Scale (TIS), Berg Balance Scale (BBS) was used for balance evaluation, Fugl-Meyer Lower Extremity Scale (FML) was used for lower extremity function evaluation, Fugl-Meyer Upper Extremity Scale (FMU) was used for upper extremity function evaluation. The mean age of the included stroke patients was 62±11 years. There was a moderate negative correlation between TIS and BBS (r=-0.610, p<0.01). A moderate negative correlation was found between TIS and FML (r=-0.520, p=0.001). A low negative correlation was found between TIS and FMU (r=-0.372, p=0.025). Trunk control affects balance, lower extremity and upper extremity function. In the treatment of stroke patients, exercise approaches for trunk control should be added to rehabilitation programs in addition to basic neurophysiological approaches.
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