基于动态神经肌肉稳定技术的核心稳定性训练对脑卒中后偏瘫患者康复效果的影响OA

Objective To investigate the rehabilitation effect of core stability training based on dynamic neuromuscular stabilization(DNS)in hemiplegia patients after stroke.Methods A total of 122 patients with hemiplegia after stroke admitted to Chengde Central Hospital from January 2023 to June 2024 were selected,and they were divided into routine training group(n=61)and DNS training group(n=61)based on the random number table method.The routine training group received the core stability rehabilitation training,and the DNS training group received the core stability training based on DNS.After 3 months of rehabilitation training,the improvement of physical disorders(trunk impairment scale,TIS),balance capacity(Berg balance scale,BBS),posture control(postural assessment scale for stroke patients,PASS),limb motor function(Fugl-Meyer assessment,FMA),the ability of daily living(modified Barthel index,MBI),walking ability(10 m walking test,10MWT;6 min walking test,6MWT)were compared between the two groups.Results After rehabilitation training,the scores of static sitting balance,dynamic sitting balance and coordination ability in TIS scale in the DNS training group were higher than those in the routine training group(P<0.05).The scores of BBS,posture maintenance and posture change in PASS scale in the DNS training group were higher than those in the routine training group(P<0.05).The upper limb FMA,lower limb FMA and MBI scores in the DNS training group were higher than those in the routine training group(P<0.05).The 10MWT in the DNS training group was shorter than that in the routine training group,and 6MWT was longer than that in the routine training group(P<0.05).Conclusion Core stability training based on DNS can further improve the physical disorders of patients with hemiplegia after stroke,improve the body's balance ability and limb control ability,and then improve the limb motor function and walking ability,and improve the patients'daily living ability.