文章摘要
黄晓琳,王平,王伟,陈勇,喻澜.脑卒中偏瘫患者减重平板步行训练的临床应用研究[J].中华物理医学与康复杂志,2003,(9):.-
脑卒中偏瘫患者减重平板步行训练的临床应用研究
  
DOI:
中文关键词: 脑卒中  偏瘫  减重平板步行训练  康复
英文关键词: Stroke  Hemiplegia  Supported treadmill ambulation training  Rehabilitation
基金项目: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.20012433)
作者单位
黄晓琳,王平,王伟,陈勇,喻澜 430030武汉华中科技大学同济医学院附属同济医院康复医学科(黄晓琳、王平、陈勇、喻澜)神经科(王伟) 
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中文摘要:
      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24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20~30 min,起始减重量为30%, 平板速度为0.2 km/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<0.05);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<0.01)。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,将成为脑卒中偏瘫后步行功能重建的有效方法。
英文摘要:
      Objective To investigate the effects of supported treadmill ambulation training (STAT) on motor function, balance and walking ability in hemiplegic patients caused by stroke. MethodsTwenty-four hospitalized hemiplegic patients were divided into two groups: 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 conventional treatments, while the control group was only given conventional treatments. Treatment effects were established by pre-and post-therapy assessment of using Functional Ambulation Category (FAC), Rivermead Motor Assessment (RMA) and Berg Balance Scale (BBS), as well as overground walking speed and walking endurance. ResultsThe scores of RMA and BBS in STAT group were 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). ConclusionHemiplegic patients treated by STAT in combination with the conventional therapy improved better with regard to their motor function, balance and walking ability than those patients treated solely with the conventional interventions. STAT is a promising new approach for the treatment of gait dysfunction after stroke.
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