减重步行训练结合脑功能治疗对脑卒中患者步行功能的影响  

Effect of Partial Body Weight Support Treadmill Training Combined with Brain Function Therapy on Walking Ability of Stroke Patients

作　　者：李瀛[1] 高慧娟[1] 毛利军[1] 王丹丹[1] 

机构地区：[1]浙江台州医院康复医学科,浙江台州市317000

出　　处：《中国康复理论与实践》2009年第7期658-659,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨减重步行训练结合脑功能治疗对脑卒中患者步行功能的影响。方法112例脑卒中患者随机分为治疗组57例和对照组55例。对照组进行常规的康复训练,治疗组在常规康复训练的基础上配合减重步行训练及脑功能治疗。治疗前后分别对2组患者采用Fugl-Meyer评定法下肢运动功能和平衡功能评定、功能性步行量表(FAC)、改良Barthel指数(MBI)进行评定。结果治疗后治疗组的下肢运动功能、平衡功能、FAC、MBI评分与对照组相比均有改善(P<0.05)。结论结合减重步行训练和脑功能治疗可以促进脑卒中患者下肢运动功能、平衡功能、步行能力和日常生活活动能力更好地恢复。Objective To explore the effects of partial body weight support treadmill training （PBWSTT） combined with brain function therapy on walking ability of stroke patients. Methods 112 stroke patients with hemiplegia were randomly allocated into treatment group （n=57） and control group （n= 55）. The control group received routine rehabilitation training, while the treatment group received PBWSTT combined with brain function therapy in addition. They were assessed with lower limb＇s movement and balance function assessment of the Fugl-Meyer Assessment （FMA）, Functional Ambulation Category （FAC）, and Modified Barthel Index （MBI） before and after the treatment. Results The scores of FMA, FAC, and MBI improved more in treatment group than in control group after treatment （P〈0. 05）. Conclusion Based on the conventional rehabilitation, PBWSTT combined with brain function therapy may improve the motor function of lower limb, balance function,walking ability, and ADL more significantly in stroke patients with hemiplegia.

关 键 词：减重步行训练 偏瘫 脑卒中 运动功能 平衡功能 步行能力 日常生活活动 

分 类 号：R743.3[医药卫生—神经病学与精神病学]