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中华脑科疾病与康复杂志(电子版) ›› 2021, Vol. 11 ›› Issue (05) : 305 -308. doi: 10.3877/cma.j.issn.2095-123X.2021.05.010

综述

躯干控制训练在脑卒中运动障碍康复中的研究进展
余程冬1, 朱东东2, 潘升超1, 刘云卫1, 曹晓光1,()   
  1. 1. 230011 合肥市第二人民医院(安徽医科大学附属合肥医院)康复医学科
    2. 230011 合肥,安徽省立医院康复医学科
  • 收稿日期:2021-09-23 出版日期:2021-10-15
  • 通信作者: 曹晓光

Research progress of trunk control training in rehabilitation of motor disorders after stroke

Chengdong Yu1, Dongdong Zhu2, Shengchao Pan1, Yunwei Liu1, Xiaoguang Cao1,()   

  1. 1. Department of Rehabilitation Medicine, The Second People’s Hospital of Hefei (Hefei Hospital Affiliated to Anhui Medical University), Hefei 230011, China
    2. Department of Rehabilitation Medicine, Anhui Provincial Hospital, Hefei 230011, China
  • Received:2021-09-23 Published:2021-10-15
  • Corresponding author: Xiaoguang Cao
引用本文:

余程冬, 朱东东, 潘升超, 刘云卫, 曹晓光. 躯干控制训练在脑卒中运动障碍康复中的研究进展[J]. 中华脑科疾病与康复杂志(电子版), 2021, 11(05): 305-308.

Chengdong Yu, Dongdong Zhu, Shengchao Pan, Yunwei Liu, Xiaoguang Cao. Research progress of trunk control training in rehabilitation of motor disorders after stroke[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2021, 11(05): 305-308.

脑卒中后机体躯干控制功能障碍是康复治疗的瓶颈,严重影响患者的康复进程,脑卒中患者四肢受单侧神经元支配,而躯干受双侧神经元支配,由于早期没有足够重视对躯干肌的训练,可能出现姿势控制及平衡功能差,影响日常生活,导致康复效果不佳。躯干控制训练已逐渐受到业界广泛关注,应用于脑卒中运动障碍的康复治疗中。本文围绕国内外躯干控制训练在脑卒中患者运动障碍中的治疗效果进行回顾和综述。

The rehabilitation of trunk control dysfunction after stroke reaches a plateau, which seriously affects the rehabilitation progress of patients. The limbs of stroke patients are dominated by unilateral neurons, while the trunk is dominated by bilateral neurons. Therefore, early rehabilitation training does not pay enough attention to trunk muscles. Poor posture control and balance function may affect daily life. Trunk control training has gradually attracted an extensive attention and has been widely used in the rehabilitation treatment of motion disorders in stroke. This study reviewed and summarized the therapeutic effects of trunk control training in stroke patients with dyskinesia.

[1]
Ekker MS, Boot EM, Singhal AB, et al. Epidemiology, aetiology,and management of ischaemic stroke in young adults[J]. Lancet Neurol, 2018, 17(9): 790-801.
[2]
Liu M, Wu B, Wang WZ, et al. Stroke in China: epidemiology, prevention, and management strategies[J]. Lancet Neurol, 2007, 6(5): 456-464.
[3]
Van Criekinge T, Saeys W, Hallemans A, et al. Trunk biomechanics during hemiplegic gait after stroke: a systematic review[J]. Gait Posture, 2017, 54: 133-143.
[4]
姚滔涛,王宁华,陈卓铭. 脑卒中运动功能训练的循证医学研究[J]. 中国康复医学杂志, 2010, 25(6): 565-570.
[5]
Pope MH, Panjabi M. Biomechanical definitions of spinal instability[J]. Spine (Phila Pa 1976), 1985, 10(3): 255-256.
[6]
Kibler WB, Press J, Sciascia A. The role of core stability in athletic function[J]. Sports Med, 2006, 36(3): 189-198.
[7]
Cabanas-Valdés R, Bagur-Calafat C, Girabent-Farrés M, et al. The effect of additional core stability exercises on improving dynamic sitting balance and trunk control for subacute stroke patients: a randomized controlled trial[J]. Clin Rehabil, 2016, 30(10): 1024-1033.
[8]
Kong KH, Ratha Krishnan R. Truncal impairment after stroke: clinical correlates, outcome and impact on ambulatory and functional outcomes after rehabilitation[J]. Singapore Med J, 2021, 62(2): 87-91.
[9]
Alhwoaimel N, Turk R, Warner M, et al. Do trunk exercises improve trunk and upper extremity performance, post stroke? A systematic review and meta-analysis[J]. NeuroRehabilitation, 2018, 43(4): 395-412.
[10]
黄辉. 悬吊下躯干控制训练对脑卒中恢复期运动功能的作用效果[J]. 湖北科技学院学报(医学版), 2018, 32(2): 171-172.
[11]
Haruyama K, Kawakami M, Otsuka T. Effect of core stability training on trunk function, standing balance, and mobility in stroke patients[J]. Neurorehabil Neural Repair, 2017, 31(3): 240-249.
[12]
晏小华,熊建忠,李生伟, 等. 悬吊下躯干控制训练对脑卒中后遗症期运动功能的康复作用[J]. 中国现代神经疾病杂志, 2017, 17(4): 266-269.
[13]
廖亮华,潘洁,王淑芬, 等. 躯干肌训练对脑卒中偏瘫患者平衡和运动功能的影响[J]. 中国康复理论与实践, 2011, 17(1): 59-61.
[14]
林秀瑶,宫淑杰,林茜, 等. 早期躯干控制训练对脑卒中患者并发症的控制研究[J]. 现代医药卫生, 2020, 36(3): 429-432.
[15]
李中元,陈美云,聂平英, 等. 强化躯干肌训练对脑卒中偏瘫患者步行能力及日常生活活动能力的影响[J]. 福建医药杂志, 2021, 43(4): 34-36.
[16]
Karatas M, Cetin N, Bayramoglu M, et al. Trunk muscle strength in relation to balance and functional disability in unihemispheric stroke patients[J]. Am J Phys Med Rehabil, 2004, 83(2): 81-87.
[17]
Yanartaş G, Karakoyun A. Isokinetic analysis of trunk muscles in stroke patients and its association with functional parameters[J]. J Stroke Cerebrovasc Dis, 2020, 29(12): 105329.
[18]
Albanese A, Bhatia K, Bressman SB, et al. Phenomenology and classification of dystonia: a consensus update[J]. Mov Disord, 2013, 28(7): 863-873.
[19]
Saeys W, Vereeck L, Truijen S, et al. Randomized controlled trial of truncal exercises early after stroke to improve balance and mobility[J]. Neurorehabil Neural Repair, 2012, 26(3): 231-238.
[20]
李宝金,李程,李鲸, 等. 早期躯干控制训练对脑卒中急性期患者平衡功能的康复作用[J]. 中国现代神经疾病杂志, 2017, 17(4): 261-265.
[21]
刘建华,魏清川,胡秀茹, 等. 躯干控制训练联合肌内效贴对卒中后偏瘫患者躯干及平衡功能的临床疗效[J]. 中国康复, 2020, 35(11): 582-586.
[22]
An SH, Park DS. The effects of trunk exercise on mobility, balance and trunk control of stroke patients[J]. J Korean Society Phys Med, 2017, 12(1): 25-33.
[23]
Van Criekinge T, Truijen S, Schröder J, et al. The effectiveness of trunk training on trunk control, sitting and standing balance and mobility post-stroke: a systematic review and meta-analysis[J]. Clin Rehabil, 2019, 33(6): 992-1002.
[24]
郝川. 不稳定支撑面躯干稳定性训练对脑卒中偏瘫早期患者平衡功能和步行能力的影响[J]. 中国康复医学杂志, 2018, 33(1): 72-75.
[25]
Jeon SH, Lee SM, Kim JH. Therapeutic effects of reaching with forward bending of trunk on postural stability, dynamic balance, and gait in individuals with chronic hemiparetic stroke[J]. J Phys Ther Sci, 2015, 27(8): 2447-2451.
[26]
Park BS, Noh JW, Kim MY, et al. The effects of aquatic trunk exercise on gait and muscle activity in stroke patients: a randomized controlled pilot study[J]. J Phys Ther Sci, 2015, 27(11): 3549-3553.
[27]
Isho T, Usuda S. Association of trunk control with mobility performance and accelerometry-based gait characteristics in hemiparetic patients with subacute stroke[J]. Gait Posture, 2016, 44: 89-93.
[28]
吉伦,伯卡特. 脑卒中康复: 基于功能的方法[M]. 李铁山, 张皓, 译. 2版. 北京: 北京大学医学出版社, 2009: 98.
[29]
Karthikbabu S, Nayak A, Vijayakumar K, et al. Comparison of physio ball and plinth trunk exercises regimens on trunk control and functional balance in patients with acute stroke: a pilot randomized controlled trial[J]. Clin Rehabil, 2011, 25(8): 709-719.
[30]
Jung KM, Joo MC, Jung YJ, et al. The effects of the three-dimensional active trunk training exercise on trunk control ability, trunk muscle strength, and balance ability in sub-acute stroke patients: a randomized controlled pilot study[J]. Technol Health Care, 2021, 29(2): 213-222.
[31]
杨伟,王红,徐洋凡, 等. BALANCE评定与训练系统对脑卒中患者早期躯干控制能力疗效观察[J]. 康复学报, 2017, 27(2): 17-21.
[32]
Kang TW, Oh DW. Effect of dynamic trunk equilibrium exercise on neglect, balance, activities of daily living in stroke patients with hemi-spatial neglect[J]. Physical Therapy Korea, 2018, 25(2): 30-43.
[33]
毛朝琴,吴颖洁,孟一迪, 等. 强化躯干核心肌群对脑卒中患者躯干控制平衡步行及日常生活能力的康复效果[J]. 安徽医学, 2019, 40(5): 489-492.
[34]
陈利强,原永康,张君, 等. 躯干控制训练对脑卒中患者运动能力的影响[J]. 中国实用医刊, 2018, 45(20): 31-33.
[35]
郭慧慧,刘仁勤. 强化躯干控制对缓解肢体痉挛的意义[J]. 中国疗养医学, 2018, 27(10): 1114-1116.
[36]
许雷雷. 躯干控制训练对脑卒中后肩关节半脱位疗效的影响[D]. 郑州: 郑州大学, 2018.
[37]
Jung KS, Cho HY, In TS. Trunk exercises performed on an unstable surface improve trunk muscle activation, postural control, and gait speed in patients with stroke[J]. J Phys Ther Sci, 2016, 28(3): 940-944.
[38]
Park JH, Hwangbo G. The effect of trunk stabilization exercises using a sling on the balance of patients with hemiplegia[J]. J Phys Ther Sci, 2014, 26(2): 219-221.
[39]
Santos RSD, Dall’alba SCF, Forgiarini SGI, et al. Relationship between pulmonary function, functional independence, and trunk control in patients with stroke[J]. Arq Neuropsiquiatr, 2019, 77(6): 387-392.
[40]
韩亮,李惠琳,欧贻斌, 等. 呼吸肌训练对脑卒中后躯干控制和平衡功能的影响[J]. 海南医学院学报, 2019, 25(7): 538-542.
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