摘要
目的探讨稳定极限训练的踝关节策略对脑卒中偏瘫恢复期患者平衡及步态的影响。方法将符合入选条件的脑卒中偏瘫恢复期患者40例按随机数字表法随机分为观察组和对照组，每组各20例。观察组采用动态姿势平衡仪（SmartEquitestBalanceMaster，SEBM）的静态长平台进行视觉追踪下的踝关节策略稳定极限训练；对照组在平行杠内利用镜面视觉反馈采用常规姿势平衡训练。2组患者每天均训练平衡和姿势控制1次，每次30rain，每周练习6d，持续2周。2组患者均同时予以常规药物治疗及其它康复治疗，治疗前后分别用Berg平衡量表（BBS）评定平衡功能，用徒步走测试评定步态变化。结果治疗前2组患者一般资料及各项指标比较，差异均无统计学意义（P〉0．05），具有可比性。2组治疗前、后比较，BBS评分及徒步走测试的步长、步速均有提高，差异均有统计学意义（P〈0．05）；且治疗后2组患者上述三项指标比较，观察组优于对照组，且差异有统计学意义（P〈0．05）；而步宽比较，2组间的差异无统计学意义（尸〉0．05）。结论进行针对性的踝关节策略稳定极限训练可有效促进患足负重、平衡和对称性迈步。
Objective To explore the effect of ankle strategy stability limit training on balance and gait in recovering stroke patients with hemiplegia. Methods Forty recovering stroke patients were randomized into an in tervention group and a control group. The patients in the intervention group were given ankle strategy stability limit training using visual feedback on the static long sets of a Smart Equitest Balance Master （SEBM） machine. Those in the control group practiced routine postural balance training using mirror visual feedback in parallel bars. Both groups of patients practiced balance and posture control for 30 minutes, once daily, 6 days a week for two weeks. Both groups were also given routine therapy and other rehabilitation. The patients＇ balance function was evaluated using the Berg Balance Scale （BBS） , and their gait was assessed using the walk across technique （WA）. Results There was no significant difference between the two groups with regard to general information, BBS scores or WA results be fore treatment. After 2 weeks of treatment, BBS scores as well as the step length and pace in the WA improved signif icantly in both groups, but all improved significantly more in the intervention group. There was no significant differ ence in width of gait. Conclusion Ankle strategy stability limit training can enhance weightbearing on stroke pa tients＇ affected foot as well as their balance and the symmetry of their steps.
出处
《中华物理医学与康复杂志》
CSCD
北大核心
2012年第2期113-115,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
踝关节
脑卒中
肌肉骨骼平衡
步态
踝关节策略
稳定极限
Ankle joint
Stroke
Museuloskeletal equilibrium
Gait
Ankle strategy
Stability limits
