文章摘要
陈佩顺 ，丘卫红.基于结构核心稳定性运动训练对脑卒中后肩关节 半脱位的疗效[J].神经损伤功能重建,2019,14(2):83-86
基于结构核心稳定性运动训练对脑卒中后肩关节 半脱位的疗效
Effect of Training Based on Structural Core Stability on Shoulder Subluxation after Stroke
  
DOI：
中文关键词: 核心稳定  脑卒中  肩关节半脱位  康复
英文关键词: core stability  stroke  shoulder subluxation  rehabilitation
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作者单位
陈佩顺12 ，丘卫红2 1. 广州市番禺区中 心 医 院 康 复 医 学 科 2. 中山大学附属第 三 医 院 康 复 医 学 科 
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中文摘要:
      目的：研究结构核心稳定性运动训练对脑卒中后肩关节半脱位的疗效。方法：脑卒中后肩关节半脱 位患者60例，随机分为对照组和治疗组，各30例。在基本治疗的基础上，对照组给予传统运动训练，治疗组 给予基于结构核心稳定性运动训练，均治疗 3 周。于治疗前、后分别测量 2 组肩峰与肱骨大结节的间距 （AGT）、评估Fugl-Meyer上肢运动功能评分（FMA-U）及改良Bathel指数（MBI），并用表面肌电图记录肩关 节核心稳定肌群最大等长收缩（MIVC）的肌电活动，用积分肌电值（iEMG）分析2组治疗前后肌电的变化。 结果：治疗3周后，2组的AGT、FMA-U、MBI和iEMG均有改善，治疗组上述指标改善更明显，与对照组差异 具有统计学意义（P＜0.05）。结论：基于结构核心稳定性运动训练能有效改善脑卒中后肩关节半脱位，改善 上肢运动功能和提高日常生活能力。
英文摘要:
      To examine the efficacy of training based on structural core stability on shoulder subluxation after stroke. Methods: A total of 60 patients with shoulder subluxation after stroke were recruited and divided into the treatment group and the control group with 30 cases per group. Both groups received basic treatment. In addition, the control group received traditional exercise training while the treatment group received training based on structural core stability. Both groups received treatment for 3 weeks. Acromion-greater tuberosity distance (AGT), Fugl-Meyer Upper limb motor assessment score (FMA-U), and Modified Barthel Index (MBI) of the two groups were evaluated before and after treatment. Maximum isometric voluntary contractions (MIVC) of myoelectric activity of the shoulder core muscles were taken by surface electromyography, and differences between the two groups were observed via integrated electromyography (iEMG). Results: After the 3-week treatment, both groups showed significant improvement in AGT, FMA-U, MBI, and iEMG. Moreover, the treatment group displayed significantly greater improvement of these values than the control group (P<0.05). Conclusion: Training based on structural core stability can significantly improve shoulder subluxation in patients after stroke and can improve upper limb movement function and ability in daily life activities.
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