核心稳定性训练在脑卒中偏瘫患者康复治疗中的应用进展
Application Progress of Core Stability Training in Rehabilitation Treatment of Stroke Patients with Hemiplegia

脑卒中是兼具发病率高、致残率高、病死率高、复发率高及多种并发症的一种疾病。传统临床康复主要以肢体功能恢复为主，忽视了躯干核心肌群功能的训练重要性，无法保证身体的核心部分在运动中作为支点，为上肢及下肢的力量传递创造有利条件。核心稳定性训练(core stability training, CST)能够显著增加核心区域的稳定性，为患侧上肢运动提供收缩的支点，使力量的产生、传递和控制达到最佳，于近年成为临床康复的研究热点，并且越来越多的研究证明其对改善脑卒中偏瘫患者的上肢运动功能具有显著效果，逐渐成为目前康复医学领域中治疗手段的热点之一。因此，本文综述了近年来国内外有关脑卒中患者核心稳定性训练的应用进展，从训练的机制、方法以及临床应用等多方面进行论述及展望，为今后康复治疗方案的合理优化提供一些思路参考。
Stroke is a disease with high morbidity, disability, mortality, recurrence and multiple complications. Traditional clinical rehabilitation mainly focuses on the recovery of limb function, ignoring the importance of the training of trunk core muscle function, and cannot guarantee that the core part of the body acts as a fulcrum during exercise, creating favorable conditions for the transmission of upper and lower limbs. Core stability training (core stability training, CST) can significantly increase the stability of the core area, provide a fulcrum for the movement of the affected upper limbs, and optimize the generation, transmission and control of strength. It has become a research hotspot in clinical rehabilitation in recent years. And more and more studies have proved that it has a significant effect on improving the upper limb motor function of stroke patients with hemiplegia, and it has gradually become one of the hot spots in the field of rehabilitation medicine. Therefore, this article reviews the application progress of core stability training for stroke patients at home and abroad in recent years, and discusses and prospects the training mechanism, methods, and clinical applications to provide some ideas for the rational optimization of rehabilitation treatment programs in the future.