摘要
目的:观察减重步行训练(BWSTT)对脑卒中患者偏瘫步态的恢复作用。方法:51例脑卒中患者分入实验组(21例)和对照组(30例)。两组均进行常规运动疗法(PT),实验组加BWSTT。共6周,5次／周,1单元／天,30min／单元。训练前后各行1次评价。结果:训练后实验组FAC评分、FMA下肢评分、步速、步长均明显提高(P<0.05),患侧单肢支撑期明显延长,双侧支撑期明显缩短(P<0.01),而对照组仅FMA下肢评分明显提高(P<0.001)。两组间对比,仅FMA下肢评分差异无显著性意义(P>0.05),其余各指标均为实验组改善更明显(P<0.05)。结论:BWSTT可提高偏瘫患者的步行能力、步速、步长,增加患侧单肢支撑期,减少双侧支撑期,改善步态对称性。
Objective:To invest the effects of body weight support treadmill training (BWSTT) on hemiplegic gait after stroke.Method:51 patients who suffered cerebrovascular diseases were assigned to experiment group (21 eases) and control group(30 cases). Both groups received conventional physical therapy (PT). Meanwhile,experiment group received BWSTT for 30min a session,5 days a week. 6 weeks were one complete duration. Result:FAC、FMA -lower limb、walking speed、stride length and the percentage of paretic single stance period increased significantly (P<0.05) while the percentage of double stance period decreased significantly (P<0.01) in experiment group after treatment.In control group,only FMA-lower limb improved(P<0.001). All the measures but FMA-lower limb improved more in experiment group than those in control group (P<0.05).Conclusion:BWSTT can improve the walking ability、walking speed and stride length,increase the percentage of paretic single stance period,decrease the percentage of double stance period, improve overall gait symmetry on hemiplegic patients.
出处
《中国康复医学杂志》
CAS
CSCD
2004年第10期731-733,共3页
Chinese Journal of Rehabilitation Medicine
关键词
减重步行训练
脑卒中
偏瘫
步态
康复
<Keyword>body weight support treadmill training
hemiplegic gait
stroke
