《中国康复理论与实践》

《中国康复理论与实践》

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节奏性听觉刺激对脑卒中偏瘫患者步态的效果①

张玉阁1，张通1,2，刘丽旭1,2   

  1. 1. 首都医科大学康复医学院，北京市100068；2. 中国康复研究中心北京博爱医院神经康复中心，北京市100068。
  • 出版日期:2016-09-25 发布日期:2016-12-05

Effect of Rhythmic Auditory Stimulation on Gait of Stroke Hemiplegic Patients

ZHANG Yu-ge1, ZHANG Tong1,2, LIU Li-xu1,2   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. Neurorehabilitation Center, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Published:2016-09-25 Online:2016-12-05

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摘要： 目的探讨在患者进行步行训练时给予节奏性听觉刺激(RAS)，对脑卒中偏瘫患者步态的影响。方法2014 年4 月~2015 年4 月，11 例脑卒中偏瘫患者随机分为试验组(n=6)和对照组(n=5)。在常规康复训练基础上，试验组接受RAS步行训练，对照组接受口头指令步行训练。分别于训练前及训练3 周后用Brunnstrom 分期、步态分析对患者进行评定。结果训练后，试验组和对照组Brunnstrom 分期均无明显变化(Z<1.414, P>0.05)；试验组跨步长、步速、步频明显提高(t>4.829, P<0.01)，时间对称性改善(t=3.323, P<0.05)，对照组均无明显改变(t<1.765, P>0.05)。结论RAS步行训练有助于改善脑卒中偏瘫患者步态。

关键词: 脑卒中, 节奏性听觉刺激, 步态, 对称性

Abstract: Objective To observe the effect of rhythmic auditory stimulation (RAS) on gait of stroke hemiplegic patients. Methods From April, 2014 to April, 2015, eleven stroke hemiplegic patients were divided into RAS group (n=6) and control group (n=5) randomly. Both groups accepted routine rehabilitation, and the RAS group accepted RAS walking exercise, while the control group accepted verbal instructed walking exercise. They were tested with Brunnstrom's Stage and gait analysis before and three weeks after training. Results There was no significant increase in Brunnstrom's Stage (Z<1.414, P>0.05) in both groups after training. The RAS group increased in stride length, velocity and cadence (t>4.829, P<0.01) after training, and improved in temporal symmetry (t=3.323, P<0.05), while there was no significant change in all of the indices in the control group (t<1.765, P>0.05). Conclusion Walking exercise under RAS facilitates to improve gait in stroke hemiplegic patients.

Key words: stroke, rhythmic auditory stimulation, gait, symmetry