中国康复2025，Vol.40Issue(7)：387-392,6.DOI:10.3870/zgkf.2025.07.001
改良八段锦对脑卒中患者下肢运动控制能力的影响
Impact of modified Baduanjin exercise on lower limb motor control abilities in stroke patients
摘要
Abstract
Objective:To investigate the impact of modified Baduanjin on lower limb motor control abilities in stroke patients.Methods:A total of 58 stroke patients were randomly divided into an experimental group and a con-trol group(29 cases in each group).The control group received conventional rehabilitation therapy,and the experi-mental group received modified Baduanjin combined with conventional rehabilitation therapy once a day,5 days a week for 6 weeks.Both two patients in the experimental group and the control group withdrew from the study,re-sulting in a final sample size of 27 patients in the two groups.Assessments were conducted before and after the inter-vention using the lower limb portion of the Fugl-Meyer Assessment(FMA-LE),the Berg Balance Scale(BBS),and the three-dimensional motion analysis system with the sacral landmark method to measure the mean sway amplitude(MSA)during standing with eyes open and closed.Surface electromyography was utilized to evaluate the integrated electromyography(iEMG)value of the affected limb's muscle groups and to calculate the co-contraction rate(CCR)of knee flexion and extension.Results:After 6 weeks of intervention,within-group comparisons showed that the FMA-LE,BBS,iEMG values of the lower limb muscle groups significantly increased in both groups(P＜0.01).Additionally,the MSA values in the X and Y axis during standing with eyes open and closed and knee flexion-exten-sion CCR values significantly decreased(P＜0.01).Inter-group comparisons revealed that the FMA-LE,BBS,iEMG values of the rectus femoris and biceps femoris-group,were significantly higher than those in the con-trol group(P＜0.01,0.05).Furthermore,the Y-axis MSA value during standing with eyes open in the exper-imental group,as well as the knee extension CCR value in the experimental was significantly lower than that in the control group(P＜0.05).Conclusion:A 6-week modified Baduanjin training can significantly improve the lower limb motor control abilities of stroke patients,specifically reflected in the enhancement of overall lower limb functional movement,muscle coordination,and balance abilities.关键词
八段锦/脑卒中/协同收缩率/平衡/下肢运动功能Key words
Baduanjin/stroke/co-contraction ratio/balance/lower limb motor function分类
医药卫生引用本文复制引用
赵薇薇,姚望,邓国刚,车培,吴明,黄桂兰,王彤..改良八段锦对脑卒中患者下肢运动控制能力的影响[J].中国康复,2025,40(7):387-392,6.基金项目
江苏省中医药科技发展计划项目(MS2021046) （MS2021046）
