高强度间歇跑台训练对脑卒中慢性期偏瘫患者步行能力的影响  

Effect of high-intensity intermittent treadmill training on walking ability of patients with chronic hemiplegia during stroke

作　　者：陆敏杰 田园 吴长伟 王冬缘 谢国浩 周子怡 王泳 Lu Minjie;Tian Yuan;Wu Changwei(Rehabilitation Centre of Fuxing Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属复兴医院康复中心,北京100038

出　　处：《中国康复》2024年第3期141-145,共5页Chinese Journal of Rehabilitation

基　　金：北京市西城区优秀人才拔尖团队项目(202155)。

摘　　要：目的:探讨高强度间歇跑台训练对脑卒中慢性期偏瘫患者步行能力的有效性和安全性。方法:将脑卒中慢性期患者50例随机分为观察组25例(采用高强度间歇跑台进行训练)和对照组25例(采用传统康复治疗技术训练),比较2组患者训练前和训练后2周的功能性步行分级量表(FAC)、Berg平衡量表(BBS)、10m步行测试(10MWT)、6min步行测试(6MWT)、简式Fugl-Meyer功能量表下肢部分(FMA-LE)。结果:训练2周后,2组患者组内比较观察组FAC、BBS、10MWT、6MWT评分较治疗前有明显提高(P<0.05),且观察组上述评分明显高于对照组(P<0.05),治疗后2组患者FMA-LE评分比较差异无统计学意义。除训练后观察组患者治疗期间出现2例大腿酸痛外,其余无不良反应。结论:高强度间歇跑台训练可以在较短时间内改善脑卒中慢性期偏瘫患者的步行能力且训练过程安全无严重不良反应。Objective:To investigate the effectiveness and safety of high-intensity intermittent treadmill training on walking ability of patients with chronic hemiplegia after stroke.Methods:A total of 50 patients with chronic stroke were selected as the observation objects,and were randomly divided into the treatment group(25 cases with high-intensity intermittent treadmill training)and the control group(25 cases with traditional rehabilitation therapy training)by using a random number table method.The functional ambulation classification(FAC),Berg Balance Scale(BBS),10-m walking test(10MWT),6-min walking test(6MWT),and Fugl-Meyer Functional Scale of Lower extremity(FMA-LE)were compared between the two groups before and 2 weeks after training.Results:There was no significant difference in FAC,BBS,10MWT,6MWT and FMA-LE between the two groups before training.After 2 weeks of training,the scores of FAC,BBS,10MWT and 6MWT in the observation group were significantly higher than those before treatment(P<0.05),and the above scores in the observation group were significantly higher than those in the control group(P<0.05),while there was no significant difference in FMA-LE score between the two groups.There were no adverse reactions except for 2 cases of thigh soreness in the treatment group after training.Conclusion:High-intensity intermittent treadmill training can improve the walking ability of patients with chronic hemiplegia in a short period of time and the training process is safe without serious adverse reactions.

关 键 词：脑卒中 高强度间歇性训练 慢性期 步行 

分 类 号：R49[医药卫生—康复医学] R743.3[医药卫生—临床医学]