强化膝关节控制训练对脑卒中偏瘫患者平衡功能和步行能力的影响  

Effects of strengthened control training of knee joint(0-15°) on the rehabilitation of balance and walking ability in patients with stroke and hemiparalysis

作　　者：刘文权[1] 徐武华[1] 吴婉霞[1] 曾德良[1] 梁宇健[1] 

机构地区：[1]暨南大学医学院第四附属医院(广州市红十字会医院)康复医学科,广州市510220

出　　处：《实用医学杂志》2012年第21期3536-3538,共3页The Journal of Practical Medicine

基　　金：广东省科技计划项目(编号:2010B031500004)

摘　　要：目的:探索强化膝关节(0～15°)控制训练对脑卒中偏瘫患者平衡功能和步行能力的影响。方法:选择脑卒中偏瘫患者60例,随机分为对照组30例和治疗组30例。对照组采用常规康复训练;治疗组在常规康复训练的基础上,结合膝关节(0～15°)强化控制训练。在治疗前和治疗6周后,用Berg平衡量表(BBS)、"起立-行走"计时(TUGT)、最大步行速度(MWS)分别测定两组患者的平衡功能、起立行走能力、10m最大步行速度。结果:治疗6周后对照组和治疗组在BBS、TUGT及MWS评分比治疗前差异均具有非常显著性(P<0.01),治疗组的评分也明显优于对照组(P<0.05)。结论:强化膝关节(0～15°)控制训练,可以纠正患者膝关节过伸,增强膝关节的稳定性,有效地改善患者平衡功能,提高患者的步行能力。Objective To investigate the effects of strengthened control training of knee joint （0-15~） on the balance and walking ability in stroke patients with hemiparalysis. Methods 60 patients with stroke and hemiparalysis were randomly divided into 2 groups： control group （n = 30） and treatment group （n = 30）. The control group received conventional rehabilitative treatment, and the treatment group received conventional rehabilitative treatment combined with strengthened control training of knee joint （0-15~）. Before and 6 weeks after the treatment, the Berg balance scale （BBS） was used to evaluate the balance function, timed ＂up and go＂ test （TUGT） and maximum walking speed （MWS） were used to test the ＂up and go＂ ability and 10-meter maximum walking speed; respectively. Results After 6 weeks of treatment, the BBS, TUGT and MWS scores were significantly different in both groups from those before the treatment （P 〈 0.01）, these scores in treatment group were significantly different from those in control group after the treatment （P 〈 0.05）. Conclusion Strengthened control training of knee joint （0-15°） can correct the over-extended knee joint, strengthen its stability, and effectively improve the balance and walking ability of patients with stroke and hemiparalysis.

关 键 词：卒中 膝关节控制训练 平衡功能 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]