减重步行训练对卒中后遗症期偏瘫患者的康复疗效  

Effect of body weight support treadmill training on stroke patients in sequela stage

作　　者：罗爱华[1] 方杰[1] 苏久龙[1] 王璐[1] 

机构地区：[1]广州医学院第二附属医院康复科,广州510260

出　　处：《中华神经医学杂志》2012年第7期730-733,共4页Chinese Journal of Neuromedicine

摘　　要：目的探讨减重步行训练对卒中后遗症期偏瘫患者步行功能、下肢运动功能、日常生活能力及生活质量的影响。方法将广州医学院第二附属医院康复科自2009年5月至2011年6月收治的58例卒中后遗症期偏瘫患者按随机数字表法分为减重步行训练组30例及对照组28例，对照组接受常规康复治疗，减重步行训练组除接受常规康复训练外另接受减重步行训练。在治疗前后采用功能性步行量表（FAC）、Fugl—Meyer量表（FMA）、Barthel指数（BI）及生活质量量表（sF．36）分别评价患者步行功能、下肢运动功能、日常生活能力及生活质量。结果治疗前2组患者FAC、FMA、BI、SF．36评分比较差异均无统计学意义（P〉0．05）。治疗后2组患者FAC、FMA、BI、SF．36评分均较治疗前明显提高，差异有统计学意义（P〈0．05），其中减重步行训练组FAC、FMA、BI、SF．36评分改善情况均明显优于对照组，差异有统计学意义（P〈0．05）。结论减重步行训练较常规康复治疗能显著提高卒中后遗症期偏瘫患者的步行功能、下肢运动能力、日常生活能力及生活质量。Objective To explore the effect of body weight support treadmill training （BWSTT） on motor function of lower extremities, walking ability, activities of daily living and quality of life in chronic hemiplegic patients after stroke. Methods Fifty-eight stroke patients in sequela stage, admitted to our hospital from May 2009 to June 2011, were randomly divided into BWSTT group （n=30） and control group （n=28）. Patients in the control group received conventional rehabilitation training while those in the BWSTT group received both conventional rehabilitation training and BWSTT. Functional Ambulation Category （FAC）, Fugl-Meyer Assessment （FMA）, Barthel Index （BI） and Short Form-36 （SF-36） were used to assess the effect before treatment and 8 weeks after treatment. Results Before treatment, no significant differences in terms of scores with FAC, FMA, BI and SF-36 were noted between the 2 groups （P〉0.05）. After treatment, the FAC, FMA, BI and SF-36 scores were all signficantly improved in both groups （P〈0.05）; and the BWSTT group scored significantly better than the control group （P〈0.05）. Conclusion BWSTT can significantly improve the walking ability, motor function of lower extremities, activities of daily living and the quality of life of stroke patients in sequela stage.

关 键 词：卒中后遗症 减重步行训练 偏瘫 康复医学 

分 类 号：R743.33[医药卫生—神经病学与精神病学]