医学综合Yixuezonghe《中国医学创新》第21卷第12期（总第654期）2024年4月步态适应性训练联合核心稳定训练用于脑卒中后偏瘫的价值刘志华①郑鹏①叶建德①【摘要】目的：探讨步态适应性训练联合核心稳定训练用于脑卒中后偏瘫的价值。方法：选取2021年1月—2023年5月上饶市中医院收治的82例脑卒中后偏瘫患者，随机将患者分为常规组和联合组，每组41例。常规组采用常规训练进行干预，联合组采用步态适应性训练联合核心稳定训练进行干预，联合组和常规组患者均持续干预2个月。在干预后，比较联合组和常规组患者日常生活能力（ADL）评分、美国国立卫生研究院卒中量表（NIHSS）评分、Fugl-Meyer运动功能量表（FMA）评分、躯干功能障碍量表（TIS）评分。结果：与干预前比较，干预后联合组和常规组患者ADL评分均升高、NIHSS评分均降低，干预后，联合组患者ADL评分高于常规组、NIHSS评分低于常规组，差异均有统计学意义（P<0.05）。与干预前比较，干预后，联合组和常规组患者上肢运动功能和下肢运动功能FMA评分均升高，干预后，联合组患者上肢运动功能和下肢运动功能FMA评分均高于常规组，差异均有统计学意义（P<0.05）。与干预前比较，干预后联合组和常规组患者静态坐位平衡、协调、动态坐位平衡评分均升高，干预后，联合组患者静态坐位平衡、协调、动态坐位平衡评分均高于常规组，差异均有统计学意义（P<0.05）。结论：步态适应性训练联合核心稳定训练能够改善患者神经功能和运动功能，提高日常生活能力。【关键词】步态适应性训练核心稳定训练脑卒中偏瘫ApplicationValueofGaitAdaptationTrainingCombinedwithCoreStabilizationTraininginPost-strokeHemiplegia/LIUZhihua,ZHENGPeng,YEJiande.//MedicalInnovationofChina,2024,21(12):156-160[Abstract]Objective:Toexploretheapplicationvalueofgaitadaptationtrainingcombinedwithcorestabilizationtraininginpost-strokehemiplegia.Method:Atotalof82patientswithpost-strokehemiplegiaadmittedtoShangraoCityHospitalofTraditionalChineseMedicinefromJanuary2021toMay2023wereenrolledandrandomlydividedintoroutinegroupandcombinationgroup,with41casesineachgroup.Theroutinegroupwasgivenroutinetraining,whilecombinationgroupwasgivengaitadaptationtrainingcombinedwithcorestabilizationtraining.Boththecombinationgroupandtheroutinegroupreceivedcontinuousinterventionfor2months.Afterintervention,scoresofactivityofdailylivingscale(ADL),nationalinstitutesofhealthstrokescale(NIHSS),Fugl-Meyerassessmentscale(FMA)andtrunkimpairmentscale(TIS)werecomparedbetweentheResult:twoComparedgroups.withthosebeforeintervention,afterintervention,ADLscoreswereincreasedandNIHSSscoresweredecreasedinbothgroups,afterintervention,ADLscoreincombinationgroupwashigherthanthatinroutinegroup,andNIHSSscorewaslowerthanthatinroutinegroup,thedifferenceswerestatisticallyP<0.05).Comparedsignificantwith(thosebeforeintervention,afterintervention,FMAsco