The influence of Brunnstrom staging functional training on the activities of daily living of stroke patients with hemiplegia
Brunnstrom分期功能训练对脑卒中偏瘫患者日常生活能力的影响

摘要

目的 探讨脑卒中偏瘫Brunnstrom分期功能训练对患者日常生活能力的影响。方法 选取本院2025年3月-2025年6月脑卒中偏瘫患者50例，依据功能训练方法划分两组，常态功能训练组25例，进行常态功能训练，分期功能训练组25例，进行Brunnstrom分期功能训练。统计分析两组症状评分、神经功能、肢体运动功能、日常生活能力、临床疗效、满意度。结果 分期功能训练组肌肉僵硬、手脚麻木积分、CSS评分、NIHSS评分均低于常态功能训练组（P<0.05），上肢、下肢功能评分及FMA总分、ADL评分、总有效率、满意度均高于常态功能训练组（P<0.05）。结论 脑卒中偏瘫Brunnstrom分期功能训练较常态功能训练更能将患者日常生活能力提升。

Abstract

Objective To explore the impact of Brunnstrom staging functional training on the daily living ability of patients with hemiplegia after stroke.
Methods Fifty patients with hemiplegia after stroke in our hospital from March 2025 to June 2025 were selected and divided into two groups according to the functional training methods. There were 25 cases in the normal functional training group for normal functional training and 25 cases in the staged functional training group for Brunnstrom staged functional training. Statistical analysis was conducted on the symptom scores, neurological function, limb motor function, activities of daily living, clinical efficacy and satisfaction of the two groups.
Results The scores of muscle stiffness, numbness in hands and feet, CSS score, and NIHSS score in the staged functional training group were all lower than those in the normal functional training group (P<0.05), while the scores of upper limb and lower limb functions, total FMA score, ADL score, total effective rate, and satisfaction were all higher than those in the normal functional training group (P<0.05).
Conclusion   Brunnstrom staged functional training for hemiplegia after stroke is more effective in improving the daily living ability of patients than routine functional training.