Research on the enhancement of balance ability in patients with cerebral infarction through combined rehabilitation exercise training
联合康复操训练提升脑梗死患者平衡能力的研究

摘要

目的 探究联合康复操训练提升脑梗死患者平衡能力的效果及潜在机制，为优化脑梗死患者康复方案提供创新性、科学性的理论与实践依据。方法 选取2023年5月-2024年5月在我院接受治疗的100例脑梗死患者，随机分为对照组和实验组，每组50例。对照组采用常规康复治疗。实验组在常规康复治疗基础上，开展联合康复操训练指导，每周训练5次，每次40分钟，持续干预12周。结果 干预后，实验组BBS评分为（48.6±3.2）分，高于对照组的（41.3±4.1）分，t=8.25，P＜0.05；FMA-B评分为（28.7±2.8）分，高于对照组的（22.5±3.3）分，t=9.03，P＜0.05；FRT距离为（35.6±4.5）cm，大于对照组的（28.3±5.2）cm，t=6.87，P＜0.05。结论 联合康复操训练可显著提升脑梗死患者平衡能力，其融合多学科康复理念的训练模式为脑梗死康复治疗提供了新思路，值得临床推广与进一步研究。

Abstract

Objective To explore the effectiveness and potential mechanisms of combined rehabilitation exercise training in enhancing the balance ability of patients with cerebral infarction, and to provide innovative and scientific theoretical and practical basis for optimizing the rehabilitation program of patients with cerebral infarction.
Methods A total of 100 patients with cerebral infarction who were treated in our hospital from May 2023 to May 2024 were selected and randomly divided into a control group and an experimental group, with 50 patients in each group. The control group received conventional rehabilitation treatments, including physical therapy and occupational therapy. The experimental group, on the basis of conventional rehabilitation treatment, carried out combined rehabilitation exercise training. This training integrates elements of neuromuscular facilitation techniques, balance function training, and traditional Chinese medical qigong (Baduanjin). Under the guidance of professional rehabilitation therapists, the training was conducted 5 times a week,40 minutes each time, for a continuous intervention of 12 weeks. The Berg Balance Scale (BBS), Fugl-Meyer Assessment of Balance Function (FMA-B), and Functional Reach Test (FRT) were used to evaluate the balance ability of the two groups of patients. Statistical analysis was performed using SPSS 26.0 software.
Results After the intervention, the BBS score of the experimental group was(48.6±3.2) points, higher than that of the control group((41.3±4.1) points, t=8.25,P<0.05).The FMA-B score was(28.7±2.8)points, higher than that of the control group((22.5±3.3) points, t=9.03,P<0.05).The FRT distance was(35.6±4.5)cm, greater than that of the control group((28.3±5.2)cm, t=6.87,P<0.05).
Conclusion   The combined rehabilitation exercise training can significantly improve the balance ability of patients with cerebral infarction. The training mode that integrates multi-disciplinary rehabilitation concepts provides a new idea for the rehabilitation treatment of cerebral infarction, which is worthy of clinical promotion and further research.