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| 转移任务中的骨盆调控训练对早期脑卒中患者运动能力影响的研究 |
| Study on the Effect of Pelvic Regulation Training in Transfer Tasks on the Motor Ability of Early Stroke Patients |
| 投稿时间：2025-07-01 修订日期：2025-07-01 |
| DOI： |
| 中文关键词: 转移任务 脑卒中早期 骨盆调控 平衡功能 ADL 步行能力 |
| 英文关键词: transfer task early stage of stroke pelvic control balance function ADL walking ability |
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| 中文摘要: |
| 目的 探讨转移任务中的骨盆调控训练对早期脑卒中患者运动能力的影响。
方法 选取病程＜1个月的脑卒中患者共60例，按随机数字表法分为试验组30例和对照组30例。2组均给予常规康复治疗，对照组增加标准化的转移任务训练，试验组增加改良性的以骨盆调控为核心的转移任务训练，治疗2周。治疗前后均采用Berg平衡量表（Berg Balance Scale,BBS）、修订的巴氏指数（Modified Barthel Index，MBI）、Holden功能性步行量表（Functional Ambyiation Category scale, FAC）、表面肌电时域指标中的均方根值（Root Mean Square, RMS）对两组患者进行疗效评价，并将试验组治疗后测得的RMS值和BBS、MBI、FAC评价指标进行相关性分析。
结果 治疗前，两组患者BBS、MBI、FAC、RMS评价指标均无显著性差异（P>0.05）。治疗后，对照组患者BBS、MBI、FAC、RMS评价指标较治疗前明显改善（t>-42.318,z=-3.638，P<0.001），试验组患者BBS、MBI、FAC、RMS评价指标较治疗前明显改善(t>-60.828，z=-4.860，P<0.001)。试验组BBS、MBI、FAC、RMS评价指标均优于对照组（t>-11.320, z=-3.959, P<0.05）。治疗后试验组患者RMS值与BBS、MBI、FAC有明显相关性(r＞0.821，P<0.001)。
结论 在常规康复治疗的基础上增加改良性的以骨盆调控为核心的转移任务训练可以显著改善早期脑卒中患者的平衡功能、ADL、步行能力，且骨盆调控能力是提高早期脑卒中患者运动能力的重要因素。 |
| 英文摘要: |
| Objective Exploring the effect of pelvic regulation training in transfer tasks on the motor ability of early stroke patients.
Methods A total of 60 stroke patients with a disease duration of less than 1 month were selected and divided into an experimental group (n=30) and a control group (n=30) using a random number table method. Both groups received conventional rehabilitation therapy. The control group received additional standardized transfer task training, while the experimental group received modified transfer task training centered on pelvic regulation. The treatment lasted for 2 weeks. Before and after treatment, the Berg Balance Scale (BBS), Modified Barthel Index (MBI), Holden Functional Ambulation Category Scale (FAC), and Root Mean Square (RMS) of surface electromyography time domain indicators were used to evaluate the efficacy of the two groups. Correlation analysis was conducted between the RMS values measured in the experimental group after treatment and the BBS, MBI, and FAC evaluation indicators.
Results Before treatment, there were no significant differences in the BBS, MBI, FAC, and RMS evaluation indicators between the two groups of patients (P>0.05). After treatment, the BBS, MBI, FAC, and RMS evaluation indicators of patients in the control group showed significant improvement compared to those before treatment (t>-42.318, z=-3.638, P<0.001). Similarly, the BBS, MBI, FAC, and RMS evaluation indicators of patients in the experimental group also showed significant improvement compared to those before treatment (t>-60.828, z=-4.860, P<0.001). The BBS, MBI, FAC, and RMS scores of the experimental group were superior to those of the control group (t>-11.320, z=-3.959, P<0.05). After treatment, there was a significant correlation between the RMS value and the BBS, MBI, and FAC in the experimental group (r＞0.821, P<0.001).
Conclusion Adding improved transfer task training centered on pelvic regulation to conventional rehabilitation therapy can significantly improve the balance function, ADL, and walking ability of early stroke patients, and pelvic regulation ability is an important factor in improving the motor ability of early stroke patients. |
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