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基于前馈控制理论的综合康复训练对脑卒中后偏瘫患者康复效果和生活质量的影响

郭世燕 石伟伟 刘方 刘恒方

中国实用神经疾病杂志2026,Vol.29Issue(3):368-372,5.
中国实用神经疾病杂志2026,Vol.29Issue(3):368-372,5.DOI:10.12083/SYSJ.251284

基于前馈控制理论的综合康复训练对脑卒中后偏瘫患者康复效果和生活质量的影响

Effect of comprehensive rehabilitation training based on feed-forward control theory on rehabilitation effect and quality of life of post-stroke hemiplegia patients

郭世燕 1石伟伟 2刘方 2刘恒方2

作者信息

  • 1. 郑州新郑国际机场急救中心,河南 新郑 451100
  • 2. 郑州大学第五附属医院,河南 郑州 450052
  • 折叠

摘要

Abstract

Objective To investigate the rehabilitation effect of comprehensive rehabilitation training based on feed-forward control(FFC)theory in post-stroke hemiplegia patients,and to provide reference for the development of rehabilitation measures.Methods The clinical data of 86 post-stroke hemiplegia patients admitted to the Fifth Affiliated Hospital of Zhengzhou University from Jan.2023 to Dec.2023 were retrospectively selected and divided into routine rehabilitation group(n=44)and FFC rehabilitation group(n=42)according to different rehabilitation training programs,and received routine rehabilitation training and comprehensive rehabilitation training based on FFC theory on the basis of routine rehabilitation training,respectively.After 3 months of intervention,rehabilitation effect,Fugl-Meyer assessment(FMA)score,Berg balance scale(BBS)score,Baker depression inventory(BDI)score,Baker anxiety inventory(BAI)score,Barthel index(BI)score,stroke impact scale(SIS)score before and after intervention,the occurrence of adverse events during the period were compared between the two groups.Results After intervention,the total effective rate of the FFC rehabilitation group was significantly higher than that of the routine rehabilitation group(P<0.05).FMA scores of upper limbs,FMA scores of lower limbs,BBS scores,BI scores and SIS scores in the FFC rehabilitation group were higher than those in the routine rehabilitation group,while BAI and BDI scores were lower than those in the routine rehabilitation group(P<0.05).During rehabilitation intervention,the incidence of adverse events in the FFC rehabilitation group was lower than that in the routine rehabilitation group(P<0.05).Conclusion Comprehensive rehabilitation training based on FFC theory can improve the rehabilitation effect of post-stroke hemiplegia patients,regulate negative psychological states,reduce the occurrence of adverse events,promote the recovery of motor function of upper and lower limbs,and improve patients'balance ability,daily living ability and quality of life.

关键词

脑卒中后偏瘫/前馈控制理论/康复训练/运动功能/平衡能力/日常生活能力

Key words

Post-stroke hemiplegia/Feed-forward control theory/Rehabilitation training/Motor function/Balance ability/Ability of daily living

分类

医药卫生

引用本文复制引用

郭世燕,石伟伟,刘方,刘恒方..基于前馈控制理论的综合康复训练对脑卒中后偏瘫患者康复效果和生活质量的影响[J].中国实用神经疾病杂志,2026,29(3):368-372,5.

中国实用神经疾病杂志

1673-5110

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