基于前馈控制理论的综合康复训练对脑卒中后偏瘫患者康复效果和生活质量的影响OA
Effect of comprehensive rehabilitation training based on feed-forward control theory on rehabilitation effect and quality of life of post-stroke hemiplegia patients
目的 探讨基于前馈控制(FFC)理论的综合康复训练治疗脑卒中后偏瘫患者的康复效果,为制定康复措施提供参考.方法 回顾性选取郑州大学第五附属医院2023-01-12收治的86例脑卒中后偏瘫患者的临床资料,根据康复训练方案不同分为常规康复组(n=44)和FFC康复组(n=42),分别行常规康复训练和在常规康复训练基础上进行基于FFC理论的综合康复训练.干预3个月后,评估康复效果、干预前后Fugl-Meyer运动功能评分量表(FMA)评分、Berg平衡量表(BBS)评分、贝克抑郁量表(BDI)评分、贝克焦虑量表(BAI)评分、日常生活能力评定量表(BI)评分、脑卒中影响量表(SIS)评分及康复干预期间不良事件发生情况.结果 干预后,FFC康复组康复总有效率明显高于常规康复组(P<0.05);FFC康复组上肢FMA评分、下肢FMA评分、BBS评分、BI评分、SIS评分均高于常规康复组,BAI和BDI评分均低于常规康复组(P<0.05).康复干预期间,FFC康复组不良事件发生率低于常规康复组(P<0.05).结论 基于FFC理论的综合康复训练可提升脑卒中后偏瘫患者的康复效果,改善焦虑与抑郁情绪,减少不良事件的发生,促进上下肢运动功能恢复,提高患者的平衡能力、日常生活能力和生活质量.
Objective To investigate the rehabilitation effect of comprehensive rehabilitation training based on feed-forward control(FFC)theory in post-stroke hemiplegia patients,and to provide reference for the development of rehabilitation measures.Methods The clinical data of 86 post-stroke hemiplegia patients admitted to the Fifth Affiliated Hospital of Zhengzhou University from Jan.2023 to Dec.2023 were retrospectively selected and divided into routine rehabilitation group(n=44)and FFC rehabilitation group(n=42)according to different rehabilitation training programs,and received routine rehabilitation training and comprehensive rehabilitation training based on FFC theory on the basis of routine rehabilitation training,respectively.After 3 months of intervention,rehabilitation effect,Fugl-Meyer assessment(FMA)score,Berg balance scale(BBS)score,Baker depression inventory(BDI)score,Baker anxiety inventory(BAI)score,Barthel index(BI)score,stroke impact scale(SIS)score before and after intervention,the occurrence of adverse events during the period were compared between the two groups.Results After intervention,the total effective rate of the FFC rehabilitation group was significantly higher than that of the routine rehabilitation group(P<0.05).FMA scores of upper limbs,FMA scores of lower limbs,BBS scores,BI scores and SIS scores in the FFC rehabilitation group were higher than those in the routine rehabilitation group,while BAI and BDI scores were lower than those in the routine rehabilitation group(P<0.05).During rehabilitation intervention,the incidence of adverse events in the FFC rehabilitation group was lower than that in the routine rehabilitation group(P<0.05).Conclusion Comprehensive rehabilitation training based on FFC theory can improve the rehabilitation effect of post-stroke hemiplegia patients,regulate negative psychological states,reduce the occurrence of adverse events,promote the recovery of motor function of upper and lower limbs,and improve patients'balance ability,daily living ability and quality of life.
郭世燕;石伟伟;刘方;刘恒方
郑州新郑国际机场急救中心,河南 新郑 451100郑州大学第五附属医院,河南 郑州 450052郑州大学第五附属医院,河南 郑州 450052郑州大学第五附属医院,河南 郑州 450052
医药卫生
脑卒中后偏瘫前馈控制理论康复训练运动功能平衡能力日常生活能力
Post-stroke hemiplegiaFeed-forward control theoryRehabilitation trainingMotor functionBalance abilityAbility of daily living
《中国实用神经疾病杂志》 2026 (3)
368-372,5
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