摘要
目的 探讨早期减重平板步行训练对脑卒中偏瘫患者下肢运动、平衡、步行功能障碍的影响。方法 将脑卒中偏瘫患者 2 4例随机分为减重组 (12例 )和对照组 (12例 )。减重组除给予常规康复治疗外 ,另给予减重平板步行训练 2周 ,每周 5次 ,每次 2 0～ 3 0min ,起始减重量为 3 0 % ,平板速度为 0 .2km/h ;对照组仅给予常规康复治疗。采用功能性步行分级、Rivermead下肢运动功能评价、Berg平衡量表、步速和耐力于治疗前、后对 2组患者进行评定。结果 治疗后减重组Rivermead下肢运动功能和Berg平衡量表得分较对照组提高 ,差异有显著性意义 (P <0 .0 5 ) ;同时 ,减重组步行分级、步速和耐力均较对照组明显提高 ,差异有非常显著性意义 (P <0 .0 1)。治疗后对照组 12名患者中有 5名需要借助手杖或步行架保持平衡、辅助行走 ,而减重组仅有 2名患者需要助步器。结论 早期减重平板步行训练结合常规康复治疗等综合应用可以更有效地改善脑卒中偏瘫患者的步行、运动和平衡功能 。
Objective To investigate the effects of su pported treadmill ambulation training (STAT) on motor function, balance and walk ing ability in hemiplegic patients caused by stroke. Methods Twenty-four hospitalized hemiplegic patients were divided into two grou ps: STAT group( n =12)and control group( n =12). STAT group received 20 ～ 30 minutes of STAT daily, five days a week for 2 weeks, in addition to conventio nal treatments, while the control group was only given conventional treatments. Treatment effects were established by pre-and post-therapy assessment of usin g Functional Ambulation Category (FAC), Rivermead Motor Assessment (RMA) and Be rg Balance Scale (BBS), as well as overground walking speed and walking enduranc e. Results The scores of RMA and BBS in STAT group w ere higher than those of the control group at the end of rehabilitation therapy ( P <0.05); the patients in STAT group scored significantly in FAC,walking speed and walking endurance than those in the control group ( P <0.01). Conclusion Hemiplegic patients treated by STAT in combinat ion with the conventional therapy improved better with regard to their motor fu nction, balance and walking ability than those patients treated solely with the conventional interventions. STAT is a promising new approach for the treatment o f gait dysfunction after stroke.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2003年第9期544-547,共4页
Chinese Journal of Physical Medicine and Rehabilitation
基金
卫生部部属 (管 )医疗机构临床学科重点项目基金资助课题 (No.2 0 0 1 2 4 33)
