足底运动反馈疗法对脑卒中恢复期患者步行功能的影响  

Influence of plantar motor feedback therapy on walking function in patients with stroke in convalescent period

作　　者：董卫华[1] 徐宁[1] 刘贵凤 DONG Weihua;XU Ning;LIU Guifeng(Department of Rehabilitation,Changzhou Wujin Traditional Chinese Medicine Hospital,Jiangsu Province,Changzhou 213100,China)

机构地区：[1]江苏省常州市武进中医医院康复科,江苏常州213100

出　　处：《中国医药导报》2023年第17期78-81,共4页China Medical Herald

基　　金：江苏省自然科学基金项目(BK20201153)。

摘　　要：目的探究足底运动反馈疗法对脑卒中恢复期患者步行功能的影响。方法选取江苏省常州市武进中医医院2020年4月至2022年1月收治的82例脑卒中恢复期患者作为研究对象,采用随机数字表法将其分为对照组和研究组,各41例。对照组予以重复经颅磁刺激(rTMS)治疗,研究组在对照组基础上联合足底运动反馈疗法。治疗前及治疗6周后评估并比较两组下肢步行能力、步行平衡能力、步态、足跟压力步道。结果治疗6周后,两组Holden步行功能评级优于治疗前,且研究组优于对照组,差异有统计学意义(P<0.05)。治疗6周后,两组Berg平衡评分量表评分、步速、患侧足跟峰值压力均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。治疗6周后,两组患侧足跟冲量均高于治疗前,差异有统计学意义(P<0.05)。结论足底运动反馈联合rTMS治疗脑卒中恢复期患者,有助于提高其步行能力及步态平衡性。Objective To explore the influence of plantar motor feedback therapy on walking function in patients with stroke in convalescent period.Methods A total of 82 patients with stroke in convalescent period admitted to Changzhou Wujin Traditional Chinese Medicine Hospital,Jiangsu Province from April 2020 to January 2022 were selected as the research objects.They were divided into control group and study group by random number table method,with 41 cases in each group.The control group was treated with repetitive transcranial magnetic stimulation(rTMS),and the study group was treated with plantar motor feedback therapy on the basis of the control group.The walking ability of lower limbs,walking balance ability,gait,and heel pressure trail were evaluated and compared between the two groups before treatment and six weeks after treatment.Results After six weeks of treatment,the Holden walking function rating of the two groups was better than that before treatment,and the study group was better than the control group,the differences were statistically significant(P<0.05).After six weeks of treatment,the Berg balance scale score,gait speed,and peak value of heel pressure of affected side in the two groups were higher than those before treatment,and those of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).After six weeks of treatment,the heel impulse of the affected side in the two groups was higher than that before treatment,and the difference was statistically significant(P<0.05).Conclusion Plantar motor feedback combines with rTMS is helpful to improve the walking ability and gait balance of patients with stroke in the convalescent period.

关 键 词：脑卒中 恢复期 足底运动 重复经颅磁刺激 

分 类 号：R743.3[医药卫生—神经病学与精神病学]