水中平板步行训练对脑卒中患者步行功能的影响  

Effect of Aquatic Treadmill Training on Walking in Stroke Patients

作　　者：曾明[1] 崔尧[2] 王月丽[1] 傅建明[1] 李岩[1] 沈芳[1] 陆茹[1] ZENG Ming;CUI Yao;WANG Yue-li;FU Jian-ming;LI Yan;SHEN Fang;LU Ru(Rehabilitation Medical Center,Second Hospital of Jiaxing,Jiaxing,Zhejiang 314000,China;Beijing Bo'ai Hospital,China Rehabilitation Research Centre,Beijing 100068,China)

机构地区：[1]嘉兴市第二医院嘉兴学院附属第二医院,浙江嘉兴市314000 [2]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2019年第1期76-80,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：嘉兴市科技计划项目(No.2016AY23052)~~

摘　　要：目的探讨水中平板步行训练对脑卒中患者步行功能的影响。方法 2015年7月至2017年10月,33例脑梗死患者随机分为对照组(n=16)和治疗组(n=17)。对照组采用常规水中运动训练,治疗组加水中平板步行训练,共6周。治疗前后采用Berg平衡量表、计时起立走测试、2分钟步行测试和步态分析进行评定。结果治疗后,两组各项指标均较治疗前改善(t> 2.536, P <0.05),治疗组Berg平衡量表评分、计时起立-走测试、2分钟步行测试、患侧步长、步速和步宽均优于对照组(t> 2.057, P <0.05),Berg平衡量表改善率显著优于对照组(χ~2=33, P <0.001)。结论水中平板步行训练可改善脑卒中患者的步行功能。Objective To investigate the effect of aquatic treadmill training on walking function in stroke patients.Methods From July,2015 to October,2017,33 patients with cerebral infarction were randomly divided into control group(n=16)and treatment group(n=17).The control group accepted routine water exercise,while the treatment group accepted aquatic treadmill training in addition,for six weeks.They were assessed with Berg Balance Scale(BBS),Timed Up and Go Test(TUG),2 Minute Walk Test(2MWT)and gait analysis before and after six weeks of treatment.Results All the indexes improved in both groups after treatment(t >2.536,P<0.05),and the performance of BBS,TUG,2MWT,and gait analysis indexes of length,speed and width of steps improved more in the treatment group than in the control group(t >2.057,P<0.05).The incidence of improvement was more in in the treatment group than in the control group(χ^2=33,P<0.001)Conclusion Aquatic treadmill training can improve the walking function for stroke patients.

关 键 词：脑卒中 平衡 步行 水疗 水中平板步行训练 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]