偏瘫患者减重训练最佳开始时间的临床研究  

Clinical research of the best start time of partial weight support for stroke patients with hemiplegia

作　　者：金建平[1] 吴秀清[1] 游毅[1] 张丽瑾[1] 陈燕[1] 

机构地区：[1]上海市杨浦区延吉社区卫生服务中心康复科,上海200093

出　　处：《上海医药》2014年第4期62-62,I0001,I0002,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :观察偏瘫患者减重训练最佳开始时间。方法 :将120例脑卒中偏瘫患者随机分成4组,对照组行常规康复训练,观察组90例据不同减重训练开始时间分成3组。Barthel指数量表、改良Ashworth分级法、Berg平衡量表、下肢运动功能Fugl-Meyer(FMA)指标评定效果。结果 :12周后,各组四项指标均有提高,但观察组效果更明显,且C组>B组>A组,差异有统计学意义。结论:常规康复治疗1周后配合减重训练,对偏瘫患者步行能力、肌张力、平衡能力和下肢运动功能恢复和改善更加明显。Objective： To observe the best start time of partial weight support for stroke patients with hemiplegia. Methods： One hundred and twenty stroke patients with hemiplegia were divided into 4 groups. The control group received conventional rehabilitation training. The observation group with 90 cases were divided into 3 groups according to the different start times of partial weight support. Barther Index（BI）, Berg Balance Scale（BBS）, the modified Ashworth grading method（MAS） and Fugl-Meyer Assessment（FMA） were used to assess the effects. Results： After 12 weeks, four indicators of each group were all improved, but the results of partial weight support groups were more obvious, which lined group C 〉 group B 〉 group A. Their differences had statistic significance. Conclusion： After one week conventional rehabilitation, the partial weight support has more apparent for walking ability, muscle tone, balance and lower extremity motor function of the hemiplegic patients recovery and improvement.

关 键 词：脑卒中 偏瘫 减重训练 开始时间 

分 类 号：R743.3[医药卫生—神经病学与精神病学]