星距平衡训练联合足部感觉运动对脑卒中患者运动平衡功能的影响

The Effect of Star Excursion Balance Training Combined with Foot Sensorimotor Training on Motor and Balance Functions in Stroke Patients

摘要: 目的：探讨星距平衡训练联合足部感觉运动对脑卒中患者运动、平衡功能及日常生活能力的影响。方法：选取2025年8月~2026年5月华北理工大学附属医院存在下肢运动功能障碍的脑卒中患者96例作为研究对象，采用随机数字表法将患者分为对照组、试验1组和试验2组，每组32例，对照组采取常规康复护理措施，试验1组在对照组的基础上施加星距平衡训练，试验2组在试验1组的基础上联合足部感觉运动，分别于干预前、干预2周后和干预4周后采用Fugl-Meyer下肢运动功能判定量表(FMA-L)、“站起–走”计时活动能力测试(TUGT)、Berg评分量表和改良Barthel指数对患者的运动功能、平衡功能及日常生活能力进行测评。结果：试验1组丢失患者1例，试验2组丢失患者2例，最终各纳入32、31、30例。干预4周后，试验1组的运动平衡功能及日常生活能力评分显著高于对照组(均P < 0.05)。试验2组的运动平衡功能及日常生活能力评分显著高于对照组和试验1组(均P < 0.05)。结论：星距平衡训练联合足部感觉运动可以更加有效改善脑卒中患者的运动功能和平衡功能，提高患者的日常生活自理能力。

Abstract: Objective: To explore the effects of star-offset balance training combined with foot sensorimotor training on motor function, balance function and activities of daily living in stroke patients. Methods: A total of 96 stroke patients with lower-extremity motor dysfunction treated in the Affiliated Hospital of North China University of Science and Technology from August 2025 to May 2026 were recruited in this study. The patients were divided into a control group, experimental group 1 and experimental group 2 using the random-number table method, with 32 patients in each group. The control group received routine rehabilitation nursing. On the basis of routine rehabilitation nursing, experimental group 1 was administered star-offset balance training, while experimental group 2 received additional foot sensorimotor training based on the intervention for experimental group 1. The Fugl-Meyer Assessment-Lower Extremity (FMA-L), Timed Up and Go Test (TUGT), Berg Balance Scale and modified Barthel Index were used to evaluate patients’ motor function, balance function and activities of daily living before intervention, at 2-week and 4-week follow-ups after intervention. Results: One patient was lost to follow-up in experimental group 1 and two patients were lost to follow-up in experimental group 2. The final sample sizes were 32, 31 and 30 patients for the control group, experimental group 1 and experimental group 2, respectively. After 4-week intervention, experimental group 1 obtained significantly higher scores of motor function, balance function and activities of daily living than the control group (all P < 0.05). Experimental group 2 achieved significantly higher scores in the above-mentioned indicators compared with the control group and experimental group 1 (all P < 0.05). Conclusion: Star-offset balance training combined with foot sensorimotor training can effectively improve motor and balance function, and enhance the self-care ability in activities of daily living among stroke patients.