足底压力训练对脑卒中偏瘫患者步态和步行能力的影响  

Effect of Plantar Pressure Training on Gait and Walking Ability in Hemiplegic Patients

作　　者：苏久龙[1] 李奎[2] 潘翠环[1] 宋兴旺[1] 范茂华[1] 叶正茂[1] 邵会凯 SU Jiulong LI Kui PAN Cuihuan SONG Xingwang FAN Maohua YE Zhengmao SHAO Huikai(The Second Affitliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong 510260, China The Third Affiliated Hospital of SUN Yat-sen University, Guangzhou, Guangdong 510630, China)

机构地区：[1]广州医科大学附属第二医院,广东广州510260 [2]中山大学附属第三医院,广东广州510630

出　　处：《康复学报》2017年第3期43-46,共4页Rehabilitation Medicine

基　　金：广东省医学科学技术研究基金项目(A2015324)

摘　　要：目的:探讨足底压力训练对脑卒中偏瘫患者步态和步行能力的影响。方法:将60例脑卒中患者按随机数字表法分为足底压力训练组和康复训练组各30例,康复训练组给予Bobath法、运动再学习为主的运动功能训练;足底压力训练组在压力板上进行不同站立姿势以及步行训练,以上治疗每周5次,每次30 min。2组治疗前及治疗3周后采用步行功能分级、GaitWatch三维步态及运动训练系统进行步态分析。结果:治疗3周后,2组步频、步行周期、步幅、步速、步长偏差、双支撑相、步行能力均较治疗前改善(P<0.05),且足底压力训练组的步频、步行周期、步幅、步速、双支撑相优于康复训练组(P<0.05),但2组间步长偏差、步行能力差异无统计学意义(P>0.05)。结论:足底压力训练可提升患者的步行能力,有效改善患者的步态。Objective ：To investigate the effect of plantar pressure training on gait and walking ability in hemiplegic patients. Methods：Sixty hemiplegic patients were randomly allocated into plantar pressure training group （n=30） and rehabilitation treatment group （n = 30 ）. The rehabilitation treatment group received rehabilitation training based on Bobath and Motor Relearn Program, the plantar pressure training group received varied erect position stand and walking on the pressure platform, thirty minutes for each course, 5 courses a week for 3 weeks continuously. Frequency of stride, gait cycle, stride length, pace, step deviation, double support phase were measured before and after treatment by GaitWatch. Walking ability was measured by functional ambulation classification （FAC）. Results：An increase of frequency of stride, gait cycle, stride length, pace, step deviation, double support phase was investigat- ed in both groups after training （P〈0.05）, and the functional improvement of the plantar pressure training group was more significant when compared with the rehabilitation treatment group （P〈0.05）, but it was not significant difference in step deviation and FAC （P〉 0.05 ）. Conclusion ：Plantar pressure training can improve the patient＇s walking ability, effectively enhance the gait of hemiplegic pa- tients.

关 键 词：偏瘫 足底压力 步态 步行能力 

分 类 号：R493[医药卫生—康复医学] R743.3[医药卫生—临床医学]