于利国,章志超,王博,等.节律性听觉刺激引导下的上肢摆动训练对脑卒中患者步行能力的影响[J].中华物理医学与康复杂志,2023,45(3):205-209
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| 节律性听觉刺激引导下的上肢摆动训练对脑卒中患者步行能力的影响 |
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| DOI：10.3760/cma.j.issn.0254-1424.2023.03.003 |
| 中文关键词: 脑卒中 节律性听觉刺激 上肢摆动训练 步行 |
| 英文关键词: Stroke Rhythmic auditory stimulation Upper limb swing training Walking Balance |
| 基金项目:湖北省自然科学基金项目（2012FFB05801） |
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| 中文摘要: |
| 目的 探讨节律性听觉刺激（RAS）引导下的上肢摆动训练对脑卒中患者步行能力的影响。 方法 选取80例脑卒中患者，采用随机数字表法分为观察组和对照组，每组40例。2组患者均接受常规康复治疗，包括神经肌肉促进技术、肌力训练、平衡功能及步态训练，观察组患者在此基础上，接受RAS引导下的上肢摆动训练，每日1次，每次20 min，每周5 d，连续6周。分别于治疗前和6周的治疗结束后（治疗后），采用Holden步行功能分级、Fugl-Meyer量表下肢部分（FMA-LE）、Berg平衡量表（BBS）、稳定极限维持范围及时间测试、10 m步行测试（10MWT）计时等指标对2组患者的平衡功能和步行能力进行评估和比较。 结果 治疗后，观察组患者的Holden步行功能分级［（3.67±0.57）分］、FMA-LE［（26.32±3.63）分］、BBS［（52.14±2.33）分］、10MWT［（26.56±6.98）s］、稳定极限维持范围时间［（3767.83±765.27）s］及范围［（6.82±1.06）mm2］均较对照组同时间点明显改善（P＜0.05）。 结论 RAS引导下的上肢摆动训练可以改善脑卒中患者的步行能力，提高步行稳定性、步速及平衡功能。 |
| 英文摘要: |
| Objective To explore any effect of upper limb swing training guided by rhythmic auditory stimulation (RAS) on the walking ability of stroke survivors. Methods Eighty stroke survivors were randomly divided into an observation group and a control group. Both groups received conventional rehabilitation treatment, including neuromuscular facilitation, muscle strength training, balance training and gait training, but the observation group was additionally provided with RAS-guided upper limb swing training for 20min once a day, 5d per week for 6 weeks. Before and after the intervention, balance and lower limb function were quantified in both groups using Holden′s walking function classification, the Fugl-Meyer lower extremity motor function scale (FMA-LE), the Berg Balance Scale (BBS) and the 10m walk test (10MWT). Limits of stability were also quantified. Results After the treatment, the average Holden, FMA-LE and BBS scores, as well as the average 10MWT time were significantly better in the observation group than in the control group. The average stability limits and their maintenance were also superior. Conclusion RAS-guided upper limb swing training can improve the gait, walking ability, walking stability, walking speed and balance of stroke survivors. |
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