摘要
目的 :观察脑卒中偏瘫患者步行训练的临床效果。 方法 :87例脑卒中患者随机分成两组。治疗组 (5 0例 )采用以促通技术为主的神经肌肉再训练法治疗 ,于治疗前、后采用 Brunnstrom分期等进行康复评价 ;对照组未采用任何康复干预手段。 结果 :治疗组训练后下肢 Brunnstrom分期 ～ 比例由 40 %提高到 96 % ,其中能独立步行的比例由原来的 2 2 %提高到 92 % ,步态优良率达 84% ,与对照组相比差异显著 (P<0 .0 5 )。 结论 :通过提高髋、膝、踝关节肌肉控制能力 ,可以达到提高步行能力和步行质量。
Objectives:To observe the clinical results of walking retraining in hemiplegic patients of stroke. Methods: 87 cases of hemiplegic patients were randomly divided into 2 groups:therapeutic group (50 cases) and control group (34 cases).Patients in the therapeutic group received gait retraining with neurological facilitation techniques as the main approach.The control group used pharmacotherapy only. Results:Both of them had significant difference between the 2 groups ( P <0.05). Conclusions:Retraining could improve hemiplegic walking ability and walking quality by improving functions and controlling abilities of the hips,knees and ankles.
出处
《医学研究生学报》
CAS
2000年第1期16-18,共3页
Journal of Medical Postgraduates
关键词
偏瘫
脑卒中
步行训练
促通技术
Stroke
Hemiplegic
Gait retraining
Gait
Facilitation technique
