减重步行训练对脑卒中偏瘫患者步行功能的影响  

The therapeutic effect of partial body-weight-supported treadmill training （ BWSTT ） on walking ability of hemiplegic patients

作　　者：王文清[1] 晁志军[2] 柴叶红[1] 谢睿智[1] 冯晶晶[1] 方鑫洋[1] 徐利[3] 

机构地区：[1]河北承德医学院附属医院康复医学科,承德067000 [2]河北承德医学院附属医院医疗保险办公室 [3]北京中国人民解放军62301部队门诊部

出　　处：《中华物理医学与康复杂志》2008年第1期49-52,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察减重步行训练（BWSTT）对脑卒中偏瘫患者步行能力的影响。方法共选取脑卒中患者40例，将其随机分成治疗组（20例）及对照组（20例）。2组患者均给予常规康复训练，治疗组患者在常规康复干预基础上增加BWSTT训练。分别于治疗前、治疗6周后对2组患者进行疗效评定。结果2组患者治疗前，其功能性步行分级（FAC）、Berg平衡量表（BBS）评分以及下肢肌力Motricity指数结果间差异均无统计学意义（P〉0．05）；分别经相应治疗后，2组患者上述各项指标均较治疗前显著改善，并且治疗组患者的改善幅度明显优于对照组，差异具有统计学意义（P〈0．05）。结论BWSTT训练能显著改善脑卒中偏瘫患者步行功能、平衡能力及下肢肌力。Objective To explore the effects of partial body-weight-supported treadmill training （BWSTT） on walk ability of the hemiplegic stroke patient. Methods Forty hemiplegic stroke patients were randomly divided into a therapy group and a control group. The subjects of both groups were administered with standardized rehabilitation program. The therapy group was also given BWSTT in addition to the standardized rehabilitation program. All the patients were evaluated before and after treatment, respectively. Results Before treatment, there was no significant difference between the 2 groups in terms of scores with functional ambulation category （ FAC）, Berg balance scale （BBS） and Motricity index （ P 〉 0.05 ）. After treatment, both groups were significantly improved with regard to their scores with FAC, BBS and Motficity index （ P 〈 0.05） , with the therapy group scored significantly better than the control group （ P 〈 0.05 ）. Conclusion BWSTT can significantly improve walk ability, balance function and muscle strength of the lower limbs of the hemiplegic stroke patients.

关 键 词：减重步行训练 脑卒中 偏瘫 步行 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]