减重步行训练对脑卒中患者下肢功能的影响  

The effects of partial body weight support treadmill training in stroke with hemiplegia： a randomized trial

作　　者：万新炉[1] 叶正茂[1] 潘翠环[1] 

机构地区：[1]广州医学院第二附属医院,广东广州510260

出　　处：《国际医药卫生导报》2008年第3期5-8,共4页International Medicine and Health Guidance News

基　　金：广东省医学科研课题立项项目（项目编号：A2005311）;广东省自然科学基金项目（项目编号：2005833801001）

摘　　要：目的 比较减重步行训练结合常规康复治疗与常规康复治疗对脑卒中后偏瘫患者的临床疗效。方法 98例脑卒中后偏瘫患者，随机分为2组：减重步行训练结合常规康复治疗组（减重步行训练组，48例）：常规康复治疗组（50例）。脑卒中后偏瘫患者入选后分别在治疗前，治疗后的1、2个月进行以下评定：1、下肢运动功能评定（Fugl-Meyer量表）；2、功能性步行量表（Functional Ambulatiorl Category，FAC）；3、日常生活行为Barthel指数量表（Activity of Daily Life，ADL）。2组患者入组后开始为期2个月的康复治疗。结果 两组患者的Fugl-Meyer、FAC、Barthel指数评分治疗前差异无统计学意义（P〉0．05），治疗后1、2个月组内差异均有统计学意义（P〈0．05）。结论 减重步行训练结合常规康复治疗能更好地提高脑卒中后偏瘫患者的运动能力。Abstract Objective To investigate the effects of partial body weight support treadmill training in hemiplegia in stroke. Methods 98 strokes were randomly assigned into 2 groups to receive partial body weight support treadmill training and normal rehabilitation therapy （48 cases）, or only normal rehabilitation therapy （50 cases）.Clirfical assessments included Fugl-Meyer scale, Functional Ambulation Category （FAC）, and Activity of Daily Life （Barthel index） was performed before treatment and at i, 2 months after treatment. Results When comparing with the results before treatment, the improvement of motor function （Fugl-Meyer）,walking （FAC） and activity of daily life （Barthel index） was statistically significant after 1,2 months of treatment （P〈0.05）. Conclusion Partial body weight support treadmill training in combination with normal reha- bilitation therapy was more effective than normal rehabilitation therapy only in terms of improving functional performance in motor function, walking and activity of daily life on the patients of stroke with hemiplegia.

关 键 词：减重步行训练 脑卒中 常规康复治疗 运动能力 

分 类 号：R74[医药卫生—神经病学与精神病学]