早期卧位功率性自行车训练对格林巴利患者步行能力的影响  

Effects of horizontal power bicycle training on walking ability of patients with sub-acute Guillain-Barre syndrome

作　　者：茅矛 曹寅慧 孙耀金 万里 

机构地区：[1]南京医科大学第一附属医院(江苏省人民医院)康复医学科,南京210000 [2]南京市儿童医院康复医学科,南京210000

出　　处：《中国康复》2015年第2期98-99,共2页Chinese Journal of Rehabilitation

基　　金：江苏省高校优势学科建设工程资助项目(JX10231801);江苏省医学重点学科-江苏省人民医院康复医学科开放课题(XK201110)

摘　　要：目的:观察早期卧位功率性自行车训练对格林巴利患者步行能力的影响。方法:格林巴利患者30例随机分为2组各15例,对照组采用常规康复训练,观察组在此基础上增加卧式功率性自行车踩踏训练。治疗前后评定2组患者的平衡功能(BBS)、日常生活能力评分(MBI)、下肢徒手肌力检查(MMT)、步行能力(10m步行时间,6min步行距离)及Holden步行功能。结果:治疗4周后,2组患者的MBI﹑肌力﹑BBS评分及步行能力均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。结论:卧位功率性功率性自行车训练能有效改善亚急性期格林巴利综合症患者的步行能力。Objective：To observe the effects of horizontal power bicycle training on the walking ability of patients with Guillain-Barre syndrome in sub-acute period.Method：Thirty sub-acute Guillain-Barre syndrome patients were randomly divided into two groups as observation group and control group（n=15each）.The patients in control group were treated only with routine rehabilitation training,and those in observation group received horizontal power bicycle training based on routine rehabilitation treatment.All patients were assessed with Berg balance scale（BBS）,manual muscle test of lower limbs（MMT）,assessment on ambulation capacity（walking time for 10 mand walking distance in 6mins,Holden′s functional ambulance classification）,and the ability of activities in daily living（ADL）,at the time of beginning and 4weeks later.Result：After 4-week treatment,the balance performance,muscle strength of lower limbs,and ADL in two groups were improved significantly as compared with those before treatment（P〈0.05）,more significantly in observation group than in control group（P〈0.05）.Conclusion：Horizontal power bicycle training can improve the walking ability of patients with Guillain-Barre syndrome in sub-acute period.

关 键 词：格林巴利综合征 卧位功率性自行车 步行能力 

分 类 号：R745.43[医药卫生—神经病学与精神病学]