Pro-kin平衡仪联合下肢智能反馈系统训练对脑卒中偏瘫患者平衡及步行功能的影响  

Effects of Pro-kin balance device combined with lower limb intelligent feedback system training on balance and walking function in stroke patients with hemiplegia

作　　者：杜志伟 刘畅[2] 陈艳[1] 曾一鸣 王路[1] DU Zhiwei;LIU Chang;CHEN Yan;ZENG Yiming;WANG Lu(Department of Rehabilitation,the Second Affiliated Hospital of Guangzhou Medical University,Zhuhai,Guangzhou 510260,China;Department of Neurology,the Second Affiliated Hospital of Guangzhou Medical University,Zhuhai,Guangzhou 510260,China)

机构地区：[1]广州医科大学附属第二医院康复科,广州珠海510260 [2]广州医科大学附属第二医院神经内科,广州珠海510260

出　　处：《现代医药卫生》2023年第20期3432-3436,共5页Journal of Modern Medicine & Health

基　　金：广东省医学科研基金项目指令性课题项目(C2021075)。

摘　　要：目的探讨Pro-kin平衡仪联合下肢智能反馈系统训练对脑卒中偏瘫患者平衡及步行功能的影响。方法选取2022年3-12月该院康复科收治的进行康复治疗的脑卒中偏瘫患者68例,采用随机数字表法分为对照组和研究组,每组34例。2组患者均接受常规康复训练,对照组在常规康复训练基础上进行下肢智能反馈系统训练,研究组在常规康复训练基础上进行Pro-kin平衡仪联合下肢智能反馈系统训练,2组患者均每周训练6次,连续治疗6周。使用Berg平衡量表(BBS)、Fugl-Meyer下肢运动功能评估量表(FMA-LE)、Gait Watch三维步态分析(步速、步长、步宽)评估2组患者治疗前后平衡及步行能力。结果2组患者治疗前BBS评分、FMA-LE评分、Gait Watch三维步态分析比较,差异均无统计学意义(P>0.05)。2组患者治疗6周后BBS评分、FMA-LE评分、Gait Watch三维步态分析均较治疗前明显改善,且研究组患者治疗6周后BBS评分、FMA-LE评分、Gait Watch三维步态分析均明显优于对照组,差异均有统计学意义(P<0.05)。结论Pro-kin平衡仪联合下肢智能反馈系统有助于改善脑卒中偏瘫患者的平衡功能,提高患者的步行能力。Objective To explore the effect of Pro-kin balance device combined with lower limb intelligent feedback system training on balance and walking function in stroke patients with hemiplegia.Methods A total of 68 stroke hemiplegia patients admitted to the Department of Rehabilitation of this hospital from March to December 2022 for rehabilitation treatment were selected and divided into the control group and the study group by random number table method,with 34 cases in each group.Patients in both groups received routine rehabilitation training,the control group received lower limb intelligent feedback system training on the basis of routine rehabilitation training;the study group received Pro-kin balance instrument combined with lower limb intelligent feedback system training on the basis of routine rehabilitation training.Patients in both groups received training six times a week and received continuous treatment for six weeks.Berg Balance Scale(BBS),Fugl-Meyer Assessment of Lower Extremity(FMA-LE),and Gait Watch 3D gait analysis(stride speed,stride length,and stride width)were used to evaluate the balance and walking function of the two groups before and after treatment.Results There were no statistical significances in BBS score,FMA-LE score,Gait Watch 3D gait analysis between the two groups before treatment(P>0.05).After six weeks of treatment,the BBS score,FMA-LE score,and Gait Watch 3D Gait analysis in both groups were significantly improved compared with before treatment,and the BBS score,FMA-LE score,and Gait Watch 3D gait analysis in the study group were significantly better than those in the control group after six weeks of treatment,with statistical significance(P<0.05).Conclusion The Pro-kin balance device combined with the lower limb intelligent feedback system helps improve the balance and walking function of stroke hemiplegia patients.

关 键 词：Pro-kin平衡仪 下肢智能反馈系统 脑卒中 平衡 步行功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R496[医药卫生—临床医学]