平衡训练对偏瘫患者步行能力的影响  

Effects of Balance Training on Walking Ability of Hemiplegic Patients

作　　者：邢晓红[1] 常淑娟[1] 

机构地区：[1]山西省长治医学院附属和平医院康复科,山西长治市046000

出　　处：《中国康复理论与实践》2008年第6期560-561,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨平衡训练对偏瘫患者步行能力的影响。方法42例偏瘫患者随机分成观察组和对照组,各21例,对照组只进行常规康复治疗,观察组在常规康复治疗基础上增加平衡功能训练。分别于治疗前、后应用Fugl-Meyer评定中的平衡功能评定法和Holden功能步行分类对患者的平衡功能和步行能力进行评定。结果治疗前,两组患者均不能独立步行,平衡积分无显著性差异(P>0.05);治疗后,观察组平衡积分优于对照组(P<0.05),独立步行达到71%,而对照组独立步行为51%,观察组优于对照组(P<0.05)。结论进行平衡功能训练对改善偏瘫患者平衡功能和步行能力有积极意义。Objective To investigate the effects of balance training on balance function and walking ability of hemiplegic patients. Methods 42 hemiplegic patients were randomly divided into the balance training group and control group with 21 cases in each group. All patients of two groups were given conventional rehabilitation therapy. Patients in the balance training group were mainly trained for balance function. The balance function and walking ability were assessed with Fugl-Meyer Balance Test and Holden Walking Classification before and after training. Results There was no significant difference between two groups before training （ P〉0.05）. After training, the balance scores were significantly improved in the balance training group compared with control group （P〈0.05）. All patients could not walk independently before training. After training, 71 % patients in the balance training group （control group was 51 % ） could walk independently, and there was significant difference between two groups （P〈0. 05）. Conclusion Balance training has important effect to improve balance function and walking ability of patients with hemiplegia.

关 键 词：平衡训练 偏瘫 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]