膈肌训练对脑卒中后疲劳患者日常生活活动的影响

被引：36

作者：

马艳 ^{[1
]}

王小云 ^{[1
]}

岳翔 ^{[2
]}

孙瑞 ^{[1
]}

机构：

[1] 武汉, 武汉市第一医院康复医学科

[2] 华中科技大学附属同济医院康复医学科

来源：

中华物理医学与康复杂志 | 2016年 / 38卷 / 08期

关键词：

脑卒中后疲劳; 呼吸功能; 膈肌训练; 日常生活自理能力;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）]; R49 [康复医学];

学科分类号：

1002 ; 100215 ;

摘要：

目的观察膈肌训练对脑卒中后疲劳(PSF)患者呼吸功能及日常生活活动能力的影响。方法采用随机数字表法将78例PSF患者分为治疗组及对照组, 2组患者均给予常规康复治疗, 治疗组患者在常规干预基础上辅以膈肌训练。于治疗前、治疗4周后分别采用肺功能检查、疲劳严重程度量表(FSS)、Fugl-Meyer运动功能评定量表(FMA)及改良Barthel指数量表(MBI)评定各组患者呼吸功能、疲劳严重程度、运动功能及日常生活自理能力改善情况。结果治疗后治疗组各项呼吸功能指标[包括肺活量(VC)、用力肺活量(FVC)、第1秒用力呼气容积(FEV1)及最大通气量(MVV)]均较治疗前及对照组明显提高(P<0.05), 其中以MVV的改善幅度尤为显著(P<0.01);治疗后治疗组FSS评分[(3.39±0.53)分]较治疗前及对照组明显改善(P<0.05), 对照组FSS评分治疗前、后无明显差异(P>0.05);治疗后2组患者FMA、MBI评分均较治疗前明显提高(P<0.05), 并且治疗组FMA评分[(41.82±10.33)分]亦显著优于对照组水平(P<0.05), 治疗后2组患者MBI评分组间差异仍无统计学意义(P>0.05)。结论膈肌训练可明显改善PSF患者运动功能及日常生活自理能力, 其治疗机制可能与提高患者呼吸功能、降低疲劳严重程度相关。

引用

页码：587 / 590

页数：4

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