康复学报2025，Vol.35Issue(5)：514-521,8.DOI:10.3724/SP.J.1329.2025.05010
天轨悬吊下不同强度核心肌群强化训练对脑卒中患者运动功能的影响
Effects of Core Muscle Strengthening Training with Different Intensities under Overhead Suspension on Motor Function of Stroke Patients
摘要
Abstract
Objective To observe the effects of core muscle group training with different intensities assisted by overhead sus-pension on motor function and activities of daily living in stroke patients.Methods A total of seventy-two stroke patients with bal-ance disorders admitted to the Department of Acupuncture and Rehabilitation,Hangzhou Traditional Chinese Medicine Hospital Af-filiated to Zhejiang Chinese Medical University,from May 2023 to February 2024 were selected.They were divided into convention-al rehabilitation group,core group 1,and core group 2 according to the random number table method,with 24 patients in each group.There were 2 cases lost to follow-up in each of the 3 groups:one case voluntarily withdrew and the other one dropped out due to re-current cerebral hemorrhage in the conventional rehabilitation group;2 cases in the core group 1 dropped out due to transfer to anoth-er hospital;1 case in the core group 2 dropped out due to discharge and 1 case due to inability to cooperate with the entire training course.Finally,66 cases completed the trial.All three groups were given basic symptomatic treatment with drugs for blood pressure and blood glucose control,as well as 30 minutes of routine rehabilitation training.In addition to the routine rehabilitation training,the core group 1 and core group 2 were given core muscle group stability training for 15 minutes and 30 minutes respectively.The training for all three groups was conducted once a day,5 days a week,for a continuous period of 4 weeks.Before treatment,2 weeks and 4 weeks after treatment,the Fugl-Meyer Assessment(FMA)and modified Barthel Index(MBI)scales were used to evaluate the motor function and activities of daily living of the 3 groups;the 3D gait motion capture and training system was used to test and record the step length,walking speed,and touchdown duration of the double-limb support phase during walking of the 3 groups;musculoskeletal ultrasound was used to measure the muscle thickness of the paralyzed side of the 3 groups.Results Compared with the pre-treatment period,the FMA scores of all three groups increased after 2 weeks and 4 weeks of treatment(P<0.05).Com-pared with the conventional rehabilitation group,the FMA scores of the core group 1 and core group 2 both increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with core group 1,the FMA scores of the core group 2 increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the pre-treatment period,the MBI scores of all three groups increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the conventional rehabilitation group,the MBI scores of the core group 1 and core group 2 both increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the core group 1,the MBI scores of the core group 2 increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the pre-treatment period,all three groups showed an increase in stride length(P<0.05),an increase in gait speed(P<0.05),and reduced double-limb support phase duration(P<0.05)after 2 weeks and 4 weeks of treatment.Compared with the conventional rehabilitation group,both the core group 1 and the core group 2 had larger stride length(P<0.05),faster gait speed(P<0.05),and reduced double-limb support phase duration(P<0.05)after 2 weeks and 4 weeks of treatment.Compared with the core group 1,the core group 2 exhibited larger stride length(P<0.05),faster gait speed(P<0.05),and reduced double-limb support phase duration(P<0.05)after 2 weeks and 4 weeks of treatment.Compared with the pre-treatment period,the thickness of the transverse abdominis and rectus abdominis in all three groups increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the conventional rehabilitation group,the thickness of the transverse abdominis and rectus abdominis in the core group 1 and the core group 2 both increased after 2 weeks and 4 weeks of treatment(P<0.05).Compared with the core group 1,the thickness of the transverse abdominis and rectus abdominis in the core group 2 increased after 2 weeks and 4 weeks of treatment(P<0.05).There was no significant difference in the thickness of the inter-nal oblique abdominis and external oblique abdominis before and after treatment in all three groups(P>0.05).Conclusion Core muscle group strengthening training assisted by overhead suspension can effectively improve the activities of daily living and bal-ance function of stroke patients,with 30 minutes of training showing better effects than 15 minutes training,and a 4-week train-ing period showing better effects than 2 weeks.关键词
脑卒中/天轨悬吊法/核心肌群/平衡/运动功能Key words
stroke/overhead suspension/core muscle group/balance/motor function引用本文复制引用
缪舒雅,何鸣翔,方星,程一淇,刘亚杰,李丽萍..天轨悬吊下不同强度核心肌群强化训练对脑卒中患者运动功能的影响[J].康复学报,2025,35(5):514-521,8.基金项目
浙江省康复医学会2023年科研基金项目(ZKKY2023006) （ZKKY2023006）
2021年浙江省卫生健康科技计划项目(2021KY923) （2021KY923）
