天轨悬吊减重步行训练对老年脑卒中患者下肢运动功能及跌倒恐惧的影响  

Effect of overground body weight support system on lower limb motor function and fear of fall in elderly stroke patients

作　　者：陈春英[1] 李琳[1] 黄双玲 刘阳 胡镕镕 Chen Chunying;Li Lin;Huang Shuangling;Liu Yang;Hu Rongrong(Department of Rehabilitation Medicine,Zhejiang Hospital,Hangzhou 310013,China)

机构地区：[1]浙江医院康复医学科,杭州310013

出　　处：《中华老年病研究电子杂志》2024年第4期21-25,共5页Chinese Journal of Geriatrics Research(Electronic Edition)

基　　金：浙江省医药卫生科技计划项目(2022PY034)

摘　　要：目的探讨天轨悬吊减重步行训练对老年脑卒中患者下肢运动功能及跌倒恐惧的影响。方法选取2022年10月至2023年6月浙江医院收治的脑卒中恢复期伴下肢运动功能障碍及害怕跌倒的老年住院患者74例,以随机数字表法将其分为对照组(37例)和观察组(37例)。对照组予常规康复训练干预,观察组在对照组的基础上给予天轨悬吊减重步行训练。两组均在干预前及干预4周后采用下肢Fugl-Meyer评估量表(FMAS)、伯格平衡量表(BBS)、站起-走计时测试时间(TUGT)、改良Barthel指数(MBI)和修订版跌倒恐惧量表(FFQ-R)评估患者下肢运动功能、生活自理能力和跌倒恐惧程度。计量资料的比较采用t检验,计数资料的比较采用χ^(2)检验。结果干预后,观察组患者下肢FMA、BBS、MBI评分明显高于对照组患者(t=5.293、8.473、5.976,P<0.01),TUGT时间明显短于对照组患者(t=11.889,P<0.01),FFQ-R评分明显低于对照组患者(t=7.147,P<0.01)。结论在常规康复训练的基础上增加天轨悬吊减重步行训练,能改善老年脑卒中患者下肢运动功能,减轻其跌倒恐惧,增强生活自理能力,提升生活质量。Objective To explore the effect of overground body weight support system on lower limb motor function and fear of falling in elderly patients with stroke.Methods A total of 74 elderly patients with lower limb motor dysfunction and fear of falling in the recovery period of stroke admitted to Zhejiang Hospital from October 2022 to June 2023 were selected and divided into a control group and an observation group by random number table method.The control group(37 cases)received conventional rehabilitation training intervention,and the observation group(37 cases)received overground body weight support system on the basis of the control group.After 4 weeks of intervention,Fugl-Meyer assessment scale(FMAS)of lower extremity,Berg balance scale(BBS),timed up and go test(TUGT),modified Barthel index(MBI)and fear of falling questionnaire-revised(FFQ-R)were used to evaluate lower limb motor function,self-care ability,and fear of falling before and 4 weeks after the intervention.The intervention effects between the two groups were compared using an independent samples t-test.Results After the intervention,the lower limb FMA,BBS,and MBI scores of the observation group were significantly higher than those of the control group(t=5.293,8.473,5.976;P<0.01),the TUGT time was significantly shorter than that of the control group(t=11.889,P<0.01),and the FFQ-R score was significantly lower than that of the control group(t=7.147,P<0.01).Conclusion Overground body weight supported training can improve the lower limb motor function of elderly stroke patients,reduce their fear of falls,enhance their self-care ability,and improve their quality of life.

关 键 词：天轨悬吊减重步行训练 老年人 脑卒中 下肢运动功能 跌倒恐惧 

分 类 号：R743.3[医药卫生—神经病学与精神病学]