| 143 | 16 | 165 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:探讨减重步行训练对脑梗死后偏瘫患者下肢运动功能、步行功能和日常生活能力的影响。方法:选择2003年10月~2005年1月在本院神经内科住院的98例初发脑梗死患者,随机分为常规康复治疗组(47例)和减重步行训练组(51例)。常规康复治疗组仅接受常规步态康复训练,减重步行训练组除接受常规康复训练外,尽早开始接受减重步行训练。两组患者康复治疗前后分别采用FAC量表、Fugl-M eyer量表及Barthel指数评分评定患者步行能力,下肢运动功能及日常生活能力,比较两组治疗效果。结果:两组患者经不同康复治疗后,上述各项指标均有改善,但减重步行训练组FAC、FMA积分及Barthel指数评分的改善情况明显优于常规康复治疗组(FAC、FMA积分比较P<0.01,Barthel指数评分比较P<0.05)。结论:减重步行训练较常规康复治疗能更大程度地提高脑梗死后偏瘫患者步行能力,下肢运动功能及日常生活能力,从而提高患者的生活质量。
Abstract：Objective:To explore the effects of body weight support treadmill training(BWSTT) on motor function,walking ability and activities of daily living(ADL) in hemiplegic patients caused by cerebral infarction.Methods:Totally 98 patients were randomly divided into two groups:BWSTT group and control group.In addition to conventional treatment,BWSTT group received BWSTT daily,while the control group was only given conventional treatment.The Functional Ambulation Category(FAC),Fugl-Meyer assessment(FMA)and the Barthel index of ADL were used to assess the treatment effects.Results:The patients in BWSTT group scored significantly in FAC,FMA(P<0.01) and the Barthel index(P<0.05) than those in the control group.Conclusion: Hemiplegic patients treated by BWSTT improved better with regards to their motor function,walking ability and ADL than those patients treated only with conventional treatment.BWSTT is effective for the hemiplegic patients to improve their quality of life.
[1]励建安,王彤.康复医学[M].北京:科学技术出版社,2002.207-218.
[2]顾新.偏瘫患者下肢运动功能、平衡功能和步行速度的相关性[J].中华物理医学与康复杂志,1998,20(7):199-201.
[3]Hess S,W erner C,Bardekeben A,Barbeau H.Body we ight-support treadm il train ing after stroke[J].Curr Atherosc lerRep,2001,3(4):287-293.
[4]Trueb lood PR.Partial body we ight treadm ill train ing inpersons w ith chron ic stroke[J].NeuroRehab ilitation,2001,16(3):141-153.
[5]V inary L,B rocard F,C larac F,et al.Developm ent ofposture and locomotion:an interp lay of endogenouslygenerated activities and neurotroph ic actions by descend ingpathways[J].B rain Res Rev,2002,40(5):118-129.
[6]Teasell RW,Bhogal SK,Foley NC,et al.Gait retrain ingpost stroke[J].Top stroke Rehab il,2003,10(2):34-65.
基本信息:
中图分类号:R743.33
引用信息:
[1]罗爱华,潘翠环,叶彤,等.减重步行训练对脑梗死后偏瘫患者步行功能的影响[J].广州医学院学报,2005(04):18-20.
基金信息:
广东省卫生厅医学科研基金资助,项目编号:A2005311