四肢联动康复训练联合减重平板步行训练对脑卒中偏瘫患者康复的影响  

Effect of Limb Linkage Rehabilitation Training Combined with Body-Weight Support Treadmill Training on Rehabilitation of Stroke Patients with Hemiplegic

作　　者：白艳波 BAI Yanbo(Department of Rehabilitation Medicine,Cao County People’s Hospital,Heze 274000,China)

机构地区：[1]山东省曹县人民医院康复医学科,山东菏泽274000

出　　处：《中国伤残医学》2025年第1期101-105,共5页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探究四肢联动康复训练联合减重平板步行训练对脑卒中偏瘫患者的影响。方法:选取2022年11月—2023年11月曹县人民医院收治的60例脑卒中偏瘫患者为研究对象,按随机数字表法将其分为对照组及研究组,各30例。两组均接受常规康复干预。在此基础上,对照组进行减重平板步行训练,研究组进行四肢联动康复训练联合减重平板步行训练。两组均干预2个月。对比两组运动功能、步行功能、平衡功能及生活质量。结果:干预后,研究组Fugl-Meyer运动量表中上肢、下肢评分及Berg平衡量表评分均高于对照组,差异均有统计学意义(P<0.05)。干预后,研究组的功能性步行能力量表等级优于对照组,差异有统计学意义(P<0.05)。干预后,研究组生活质量综合评定问卷-74中各个维度评分均高于对照组,差异均有统计学意义(P<0.05)。结论:采用减重平板步行训练联合四肢联动康复训练器对脑卒中偏瘫患者进行干预,有助于提高其运动功能、平衡功能和步行功能,具有较高的应用价值。Objective:To explore the effect of limb linkage rehabilitation training combined with body-weight support treadmill training on stroke patients with hemiplegia.Methods:A total of 60 stroke patients with hemiplegia admitted in Cao County People’s Hospital from November 2022 to November 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 30 cases in each group.Both groups received routine rehabilitation intervention.On this basis,the control group underwent body-weight support treadmill training,and the study group underwent limb linkage rehabilitation training combined with body-weight support treadmill training.Bath groups were treated 2 month.The motor function,walking function,balance function and quality of life of the two groups were compared.Results:After intervention,the upper and lower limbs scores of Fugl-Meyer Assessment and Berg Balance Scale score in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After intervention,the Functional Ambulation Category Scale degree of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).After intervention,the scores of all dimensions of Generic Quality of Life Inventory-74 in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:The use of body-weight support treadmill training combined with limb linkage rehabilitation training for the intervention of stroke patients with hemiplegia is helpful to improve their motor function,balance function and walking function,and has high application value.

关 键 词：脑卒中 偏瘫 四肢联动康复训练 减重平板步行训练 运动功能 步行功能 生活质量 

分 类 号：R743.3[医药卫生—神经病学与精神病学]