减重步行训练联合镜像视觉反馈疗法在脑卒中后偏瘫患者中的应用  

Application of body weight support treadmill training combined with mirror visual feedback therapy in patients with hemiplegia after stroke

作　　者：刘少静 腾军放[2] 许玉明 李玉生[2] 张杰文[3] 马建军[3] Liu Shaojing;Teng Junfang;Xu Yuming;Li Yusheng;Zhang Jiewen;Ma Jianjun(First author's address Xinlicheng Angang General Hospital,Anyang 455000,Henan,China)

机构地区：[1]新里程安钢总医院,河南安阳455000 [2]郑州大学第一附属医院,河南郑州450000 [3]河南省人民医院,河南郑州450000

出　　处：《临床心身疾病杂志》2021年第5期104-107,共4页Journal of Clinical Psychosomatic Diseases

摘　　要：目的探讨减重步行训练联合镜像视觉反馈疗法在脑卒中后偏瘫患者中的应用效果。方法将106例脑卒中后偏瘫患者按照随机数字表法分为研究组与对照组,各53例。两组均给予减重步行训练,研究组在此基础上给予镜像视觉反馈疗法,观察4周。干预前及干预2周、4周末比较两组10 m最大步行速度,比较两组起立-行走用时,采用Fugl-Meyer量表与Barthel指数评定两组上肢功能及日常生活能力。结果干预2周、4周末两组10 m最大步行速度均较干预前显著增大(P<0.01),研究组显著大于对照组(P<0.01);两组起立-行走用时均较干预前显著减少(P<0.01),研究组显著少于对照组(P<0.01)。干预2周、4周末两组Fugl-Meyer量表与Barthel指数评分均较干预前显著升高(P<0.01),研究组显著高于对照组(P<0.01)。结论减重步行训练联合镜像视觉反馈疗法有助于加快脑卒中后偏瘫患者的步行速度及起立-行走速度,有效提升患者肢体运动能力及日常生活能力。Objective To investigate the application effect of body weight support treadmill training combined with mirror visual feedback therapy in patients with hemiplegia after stroke.Methods A total of 106 patients with hemiplegia after stroke were divided into study group and control group according to random number table method,with 53 cases in each group.Both groups were given body weight support treadmill training,and the study group was given mirror visual feedback therapy on the basis of this for 4 weeks.The 10 m maximum walking speed(MWS),timed“up and go”test(TUGT)of the two groups were compared before and after 2 and 4 weeks of intervention.Fugl Meyer Assessment(FMA)and Barthel index(BI)were used to evaluate the upper limb function and daily living ability of the two groups.Results The 10 m MWS in both groups were significantly increased after 2 weeks and 4 weeks of intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).The TUGT time in both groups was significantly reduced compared with before intervention(P<0.01),and that in the study group was significantly less than that in the control group(P<0.01).After the intervention for 2 weeks and 4 weekends,the FMA and BI scores of the two groups were significantly higher than those before the intervention(P<0.01),and the study group was significantly higher than the control group(P<0.01).Conclusions Body weight support treadmill training combined with mirror visual feedback therapy can help improve the walking speed and the time of standing-walking of patients with hemiplegia after stroke,and effectively improve the physical ability and daily living ability of patients.

关 键 词：脑卒中后偏瘫 减重步行训练 镜像视觉反馈疗法 步行速度 生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]