头针结合强制负重训练对脑卒中后倾斜综合征患者倾斜症状及平衡功能的影响

目的 观察头针结合强制负重训练对脑卒中后倾斜综合征患者倾斜症状及平衡功能的影响。方法 将40例脑卒中后倾斜综合征患者随机分为对照组和观察组，每组20例；两组患者均进行常规康复训练，在此基础上对照组患者进行强制负重训练，观察组患者采用头针治疗结合强制负重训练，两组疗程均为4周。比较两组患者治疗前后Burke倾斜量表（Burke lateropulsion scale，BLS）评分、平衡仪压力中心X轴数值、Berg平衡量表（Berg balance scale，BBS）评分、健侧腓肠肌内侧头平均肌电值（averaged electromyography，AEMG）、改良Barthel指数（modified Barthel index，MBI）。结果 治疗4周后，两组BLS评分、平衡仪压力中心X轴数值、AEMG较治疗前明显降低（P＜0.05），BBS评分、MBI较治疗前均明显升高（P＜0.05）；两组BLS评分、平衡仪压力中心X轴数值、健侧腓肠肌内侧头AEMG、BBS评分、MBI差值比较，差异均有统计学意义（P＜0.05）。结论 头针结合强制负重训练可显著改善患者倾斜症状及平衡功能，提高日常生活活动能力。

Effect of Scalp Acupuncture Combined with Forced Weight-bearing Training on Tilt and Balance in Patients with Pusher Syndrome After Stroke

Objective To investigate the effect of scalp acupuncture combined with forced weight-bearing training on tilt and balance in patients with Pusher syndrome after stroke. Methods A total of 40 patients with Pusher syndrome after stroke were randomly divided into control group and observation group,with 20 patientsin each group. In addition to routine rehabilitation training, the patients in the control group were given forced weight-bearing training, and those in the observation group were given scalp acupuncture combined with forced weight-bearing training. The course of treatment was 4 weeks for both groups. The two groups were compared in terms of Burke lateropulsion scale (BLS) score,the X-axis value of the pressure center measured by the balance instrument, Berg balance scale (BBS) score,averaged electromyography(AEMG) value of the medial head of the gastrocnemius muscle on the contralateral side, and modified Barthel index (MBI) before and after treatment. Results After 4 weeks of treatment,both groups had significant reductions in BLS score,the X-axis value of the pressure center measured by the balance instrument,and AEMG value (P<0.05) and significant increases in BBS score and MBI (P<0.05). There were significant differences between the two groups in the changes in BLS score, the X-axis value of the pressure center measured by the balance instrument, the AEMG value of the medial head of the gastrocnemius muscle on the contralateral side, BBS score, and MBI (P<0.05). Conclusion Scalp acupuncture combined with forced weight-bearing training can effectively improve tilt symptoms, balance function, and activities of daily living in patients.