摘要
目的:分析三维运动平台结合交替垂直振动疗法在急性缺血性脑卒中(AIS)伴偏瘫老年患者步行能力评价中的运用价值。方法:将2017年1月~2019年6月无锡市精神卫生中心收治的140例AIS伴偏瘫老年患者分为观察组与对照组;对照组给予常规训练模式进行干预,观察组给予三维运动平台结合交替垂直振动疗法辅助康复训练;训练前后测试所有老年患者步行能力。结果:观察组临床疗效高于对照组(P<0.05);治疗后观察组步速、步频、跨步长、患侧支撑期百分比、向前及垂直地面反作用力峰值占体质量百分比、踝关节背伸跖屈活动度、膝关节屈曲伸展活动度、髋关节屈曲伸展活动度均高于对照组,步宽、双侧及健侧/患侧支撑期百分比低于对照组,差异有统计学意义(P<0.05)。结论:三维运动平台结合交替垂直振动疗法可有效提高AIS伴偏瘫老年患者步行能力。
Objective:To assess the value of three-dimensional motion platform combined with alternating vertical vibration therapy in evaluating the walking ability in elderly patients of acute ischemic stroke(AIS)with hemiplegia.Methods:One hundred and forty elderly AIS patients with hemiplegia admitted to and treated in our hospital were recruited from January 2017 to June 2019,and allocated to observational group and control group.Patients in the observational group underwent rehabilitation by conventional training mode,and those in observational group were provided with three-dimensional exercise platform combined with alternating vertical vibration therapy-assisted rehabilitation training.The walking ability was tested in all patients before and after training.Results:The clinical efficacy of treatment was significantly better in observational group than in control group(P<0.05).After treatment,the pace,stride frequency,stride length,percentage of the affected side support duration,peak forward/vertical ground reaction force as a percentage of body weight,ankle joint,range of flexion and plantar flexion,knee and hip flexion and extension were greatly improved in observational over the control group,yet the step width,percentage of bilateral and uninvolved side support duration were poorer in observational group than in the control group(P<0.05).Conclusion:Three-dimensional motion platform combined with alternating vertical vibration therapy can improve the walking ability in elderly patients of AIS with hemiplegia.
作者
李冰
汤禹铭
LI Bing;TANG Yuming(Department of Neurology Rehabilitation,Wuxi Mental Health Center,Wuxi 214000,China)
出处
《皖南医学院学报》
CAS
2021年第1期53-56,共4页
Journal of Wannan Medical College
基金
无锡市卫生与计划生育委员会科研项目(Q201723)。
关键词
三维运动平台
交替垂直振动疗法
急性缺血性脑卒中伴偏瘫
步行能力
three-dimensional motion platform
alternating vertical vibration therapy
acute ischemic stroke with hemiplegia
walking ability
