目的探讨患手前伸、健手背后起坐训练对脑卒中偏瘫患者平衡功能及下肢运动功能恢复的疗效。方法选择康复科2013年7月至2014年7月收治的脑卒中偏瘫患者34例,根据患者及家属意愿分为两组:观察组17例,对照组17例。观察组进行患手前伸、健手背后起坐训练治疗,对照组按传统的Bobath双手叉握起坐训练治疗。疗程为8周,治疗前后对两组患者进行Berg平衡量表、Fugl-Meyer下肢积分、日常生活活动能力(Barthel指数)评定,对步行能力分级进行评估。结果两组患者年龄、性别、疾病分型、患侧、病程及治疗前Berg平衡量表评分、下肢Fugl-Meyer积分、Barthel指数、步行能力比较差异无统计学意义(P均>0.05)。8周后观察组患者Berg平衡量表评分[(37.2±5.80)分vs(30.5±6.52)分]、下肢Fugl-Meyer评分[(28.65±2.69)分vs(24.82±3.94)分]、Barthel指数[74.35±5.89 vs 66.53±8.12]、步行能力分级[(4.54±0.52)级vs(3.89±0.66)级]明显优于对照组,差异均有统计学意义(P均<0.01)。结论患手前伸、健手背后训练对脑卒中偏瘫患者的平衡功能、下肢运动功能及步行能力有促进作用。 Objective To explore the effect of hand stretching and hand-back training on stroke patients with hemiplegia balance function and motor function recovery. Methods Thirty-four patients with stroke and hemiplegia were selected from rehabilitation department from July 2013 to July 2014. According to the wishes of patients and their families, they were divided into two groups: observation group (17 cases) and control group (17 cases). The observation group was subjected to hand stretching exercises and healthy back training. The control group was trained according to the traditional Bobath handshake. The course of treatment was 8 weeks. Before and after treatment, Berg Balance Scale, Fugl-Meyer Lower Extremity Score and Barthel Index were used to evaluate the grading of walking ability. Results There was no significant difference in age, sex, disease type, ipsilateral, duration of disease and Berg Balance Scale before treatment, Fugl-Meyer score, Barthel index and walking ability between the two groups (all P> 0.05). After 8 weeks, the Berg Balance Scale score in the observation group [(37.2 ± 5.80) vs (30.5 ± 6.52)], Fugl-Meyer score [(28.65 ± 2.69) vs (24.82 ± 3.94) [74.35 ± 5.89 vs 66.53 ± 8.12], walking ability grading [(4.54 ± 0.52) vs (3.89 ± 0.66)] was significantly better than the control group (all P <0.01). Conclusions With hand stretching and hand back training, it can promote the balance function, motor function and walking ability of stroke patients with hemiplegia.