减重平板训练联合四肢联动训练对急性缺血性脑卒中偏瘫患者平衡功能的影响  

Effect of body-weight support treadmill training combined with limb linkage training on balance function of patients with acute ischemic stroke complicated with hemiplegia

作　　者：郑海丽 耿浩 袁国静[1] ZHENG Haili;GENG Hao;YUAN Guojing(Comprehensive Treatment Area for Rehabilitation,The First Affiliated Hospital of Henan University,Kaifeng 475000,Henan,China)

机构地区：[1]河南大学第一附属医院康复综合治疗区,河南开封475000

出　　处：《右江医学》2022年第7期527-531,共5页Chinese Youjiang Medical Journal

基　　金：河南省医学科技攻关计划(联合共建)项目(LHGJ20190517)。

摘　　要：目的探讨减重平板训练联合四肢联动训练对急性缺血性脑卒中偏瘫患者平衡功能的影响。方法选取河南大学第一附属医院2018年1月—2020年1月收治的急性缺血性脑卒中偏瘫患者84例作为研究对象,按抽签法分为研究组(n=42例,减重平板训练联合四肢联动训练)与对照组(n=42例,常规训练)。比较两组患者临床疗效,训练前后平衡功能、步行参数及干预前后日常生活活动能力评分(MBI)变化。结果研究组临床总有效率为92.86%,明显高于对照组的76.19%(P<0.05);两组患者治疗训练前平衡功能差异无统计学意义,治疗后研究组睁眼区所占面积比、睁眼单位面积轨迹长度、闭眼区所占面积比、闭眼单位面积轨迹长度分别为(72.87±7.65)%、(6.34±0.76)cm、(56.53±7.69)%、(5.65±1.43)cm,高于对照组的(68.76±6.34)%、(5.87±0.96)cm、(53.02±6.64)%、(4.99±1.32)cm(P<0.05);治疗后研究组步长、步宽分别为(59.93±6.68)cm、(13.73±2.19)cm,长于对照组的(55.57±6.13)cm、(12.57±2.21)cm(P<0.05),步速、步频分别为(75.53±6.75)cm/s、(58.89±6.64)步/min,高于对照组的(70.45±5.95)cm/s、(54.78±6.43)步/min(P<0.05);治疗后研究组MBI评分为(49.87±6.02)分,显著高于对照组的(44.56±5.98)分(P<0.05)。结论采用减重平板训练联合四肢联动训练对急性脑卒中偏瘫患者进行物理训练后,临床疗效显著,患者平衡能力、步行能力、日常生活活动能力均得到明显改善。Objective To explore the effect of body-weight support treadmill training combined with limb linkage training on balance function of patients with acute ischemic stroke complicated with hemiplegia.Methods 84 patients with acute ischemic stroke complicated with hemiplegia admitted to the First Affiliated Hospital of Henan University between January 2018 and January 2020 were selected as research subjects,and they were divided into study group(n=42,given body-weight support treadmill training combined with limb linkage training)and control group(n=42,given routine training)according to lottery method.And then,the clinical efficacy as well as balance functions and walking parameters before and after training and activities of daily living(modified Barthel index,MBI)before and after intervention were compared between the two groups.Results The total clinical efficacy of the study group was 92.86%,which was significantly higher than that of the control group(76.19%)(P<0.05).There was no statistically significant difference in balance functions before treatment and training between the two groups.After treatment,the proportion of eye-opening area,the track length of eye-opening per unit area,the proportion of eye-closing area,and the track length of eye-closing per unit area were(72.87±7.65)%,(6.34±0.76)cm,(56.53±7.69)%,(5.65±1.43)cm,respectively,which were higher or longer than those of the control group([68.76±6.34]%,[5.87±0.96]cm,[53.02±6.64]%,[4.99±1.32]cm)(P<0.05).After treatment,the step length and step width of the study group were(59.93±6.68)cm and(13.73±2.19)cm,respectively,which were longer than those of the control group([55.57±6.13]cm and[12.57±2.21]cm)(P<0.05),and step speed and step frequency were(75.53±6.75)cm/s and(58.89±6.64)step/min,respectively,which were higher than those of the control group([70.45±5.95]cm/s and[54.78±6.43]step/min)(P<0.05).After treatment,the MBI score of the study group was(49.87±6.02)points,which was significantly higher than that of the control group(44.56±5.9

关 键 词：减重平板训练 四肢联动训练 急性缺血性脑卒中 平衡功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]