健侧主动控制训练在脑卒中后倾斜综合征中的应用效果

Abstract
Figure/Table
References (17)
Related Citation (15)

Download: PDF (559 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the application effect of contralateral active control training in post-stroke pusher syndrome(PS).Methods A total of 58 patients with stroke treated in the Department of Rehabilitation Medicine of Aviation General Hospital of China Medical University from October 2019 to August 2021 were selected as the research subjects,according to the random number table method,they were divided into the control group and the treatment group,in which 3 cases fell off in the treatment group and 3 cases fell off in the control group,26 cases in each group completed the study.The control group was treated with routine rehabilitation training,and the treatment group was treated with routine rehabilitation training combined with contralateral active control training.Both groups were treated for 6 weeks.Burke lateropulsion scale(BLS),Berg balance scale(BBS)and Trunk impairment scale(TIS)were used to evaluate the changes of balance and trunk control function in the two groups.Results The BLS scores of patients in the two groups after 6 weeks of treatment were lower than those before treatment,and the BBS and TIS scores of patients in the two groups after 6 weeks of treatment were higher than those before treatment,and the BLS of the treatment group after 6 weeks of treatment was lower than that of the control group,and the scores of BBS and TIS of the treatment group after 6 weeks of treatment were higher than that of the control group,the differences were statistically significant(P＜0.05).The scores of Trunk impairment scale static(TIS-S),Trunk impairment scale dynamic(TISD)and Trunk impairment scale coordination(TIS-C)in the two groups after 6 weeks of treatment were higher than those before treatment,and the scores of TIS-S,TIS-D and TIS-C in the treatment group after 6 weeks of treatment were higher than those in the control group,the differences were statistically significant(P＜0.05).Conclusion Contralateral active control training can significantly improve the balance and trunk control function of PS patients after stroke,and the improvement of trunk function is more comprehensive.

Key words： Stroke Pusher syndrome Contralateral active control Dynamic balance Trunk coordination

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YANG Mengrui
	QIU Zhiyong

Cite this article:

YANG Mengrui,QIU Zhiyong. Application effect of contralateral active control training in post-stroke pusher syndrome[J]. 中国当代医药, 2022, 29(10): 81-84.

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2022/V29/I10/81

[1]	Gandolfi M，Geroin C，Ferrari F，et al.Rehabilitation procedures in the management of postural orientation deficits in patients with poststroke pusher behavior：a pilot study[J].Minerva Med，2016，107（6）：353-362.
[3]	Pardo V，Galen S.Treatment interventions for pusher syndrome：a case series[J].Neuro Rehabilitation，2019，44（1）：131-140.
[5]	中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国急性缺血性脑卒中诊治指南2014[J].中华神经科杂志，2015，48（4）：246-257.
[7]	邵印麟，欧阳迎，周立晨，等.姿势控制训练对脑卒中偏瘫患者足底压力、平衡功能和步行功能改善的影响[J].河北医药，2018，40（3）：389-392，396.
[2]	Bergmann J，Krewer C，Müller F，et al.A new cutoff score for the Burke Lateropulsion scale improves validity in the classification of pusher behavior in subactue stroke patients[J].Gait Posture，2019，68：514-517.
[4]	Zimmerli L，Jacky M，lunenburger L，et al.Increasing patiert engagement during virtual reality-based motor rehabitation[J].Arch Phys Med Rehabil，2013，94（9）：1737-1746.
[6]	Babyar SR，Peterson MG，Bohannon R，et al.Clinical examination tools for lateropulsion or pusher syndrome following stroke：a systematic review of the literature[J].Clin Rehabil，2009，23（7）：639-650.
[8]	陈国平，亢连茹，王艳，等.视觉反馈结合任务导向性训练治疗Pusher 综合征的临床观察[J].中国康复医学杂志，2016，31（4）：467-468.
[9]	Zhang L，Zhang Q，Su Y，et al.A new treatment of pusher syndrome based on central integration concepts[J].Ann Phys Rehabil Med，2018，61：e37.
[10]	Chen XW，Lin CH，Zhen H，et al.A Chinese patient with pusher syndrome and unilateral spatial neglect syndrome[J].Can J Neurol Sci，2014，41（4）：493-497.
[11]	黄怡，潘翠环，叶正茂，等.平衡训练对脑卒中Pusher 综合征患者下肢运动能力的影响[J].中国康复，2014，29（3）：170-172.
[12]	刘四维，关敏，张静，等.倾斜综合征的研究进展[J].华西医学，2019，34（11）：1315-1320.
[13]	Piotr P，Dorota RS，Malgorzata P，et al.Treatment of pusher syndrome in a patient after extensive cerebral infarction caused by cerebral embolism-case report[J].J Educ Health Sport，2017，7（8）：583-592.
[14]	梁文锐，梁天桂，周开斌.前庭刺激对脑卒中半侧空间忽略患者平衡及日常生活活动能力的影响[J].广西医科大学学报，2014，31（3）：470-471.
[15]	杨明霞，李沛鸿，梁拴军.Burke 倾斜量表评价Pusher 综合征康复的研究[J].中国康复理论与实践，2012，18（6）：569-571.
[16]	Berg Ko，Wood-Daupbinee SL，Williams JI，et al.Measuring balance in the elderly：preliminary development of an instrument[J].Plysiother Can，1989，41：304-311.
[17]	Verheyden G，Nieuwboer A，Mertin J，et al.The Trunk Impairment Scale：a new tool to measure motor impaimment of the trunk after stroke[J].Clin Rehabil，2004，18（3）：326-334.