基于反重力跑台训练系统的双重运动任务训练对脑卒中患者平衡功能的效果

doi:10.3969/j.issn.1006-9771.2018.11.011

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (11): 1315-1319.doi: 10.3969/j.issn.1006-9771.2018.11.011

基于反重力跑台训练系统的双重运动任务训练对脑卒中患者平衡功能的效果

蔡庆¹, 谢丽君¹, 赵绿玉¹, 叶鹏瑛², 苏敏芝¹, 张淑娴¹, 高惠刚¹, 胡昔权¹, 陈曦¹

1.中山大学附属第三医院康复医学科,广东广州市 510530;
2.中山大学附属第三医院粤东医院康复医学科,广东梅州市 514000

收稿日期:2018-09-10 修回日期:2018-10-22 出版日期:2018-11-20 发布日期:2018-12-26
通讯作者: 陈曦。E-mail: chenxi79@mail.sysu.edu.cn
作者简介:蔡庆(1985-),女,汉族,江西赣州市人,硕士,康复治疗师,主要研究方向：神经康复、激光运动医学。
基金资助:
1.国家自然科学基金青年基金项目(No. 81301674); 2.中央高校基本业务费专项资金项目(No. 12ykpy45)

Effects of Dual-task Motor Training with Anti-gravity Treadmill on Motor and Balance after Stroke

CAI Qing¹, XIE Li-jun¹, ZHAO Lü-yu¹, YE Peng-ying², SU Min-zhi¹, ZHANG Shu-xian¹, GAO Hui-gang¹, HU Xi-quan¹, CHEN Xi¹

1. Department of Rehabilitation, the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong 510530, China;
2. Department of Rehabilitation, Yuedong Hospital of Sun Yat-Sen University, Meizhou, Guangdong 514000, China

Received:2018-09-10 Revised:2018-10-22 Published:2018-11-20 Online:2018-12-26
Contact: CHEN Xi. E-mail: chenxi79@mail.sysu.edu.cn
Supported by:
Supported by National Natural Science Foundation of China (Youth) (No. 81301674) and Fundamental Research Funds for the Central Universities (No. 12ykpy45)

摘要/Abstract

摘要： 目的观察采用反重力跑台训练系统进行双重运动任务训练对脑卒中患者运动及平衡功能的影响。方法 2016年1月至2017年6月,脑卒中偏瘫患者30例随机为对照组(n = 15)和试验组(n = 15)。两组均接受常规物理治疗,对照组进行反重力跑台步行训练,试验组利用反重力跑台训练系统进行双重运动任务训练,共4周。训练前后采用平衡功能检测训练系统评定平衡功能,同时采用Fugl-Meyer评定量表下肢部分(FMA-L)、Berg平衡量表(BBS)和改良Barthel指数(MBI)进行评定。结果训练后,试验组X方向最大动摇径(Rx)、Y方向最大动摇径(Ry)和包络面积(RecArea)均显著下降(t > 4.719, P < 0.001),对照组RecArea显著下降(t = 5.069, P < 0.001),试验组Ry和RecArea低于对照组(t > 2.288, P < 0.05)。治疗后,两组FMA-L、BBS和MBI评分均显著改善(t > 7.316, P < 0.001),试验组优于对照组(t > 2.322, P < 0.05)。结论双重运动任务训练有助于脑卒中偏瘫患者运动及平衡功能恢复,提高日常生活活动能力。

关键词: 脑卒中, 双重运动任务, 平衡, 反重力跑台

Abstract: Objective To observe the effects of dual-task motor training on motor and balance function for stroke patients. Methods From January, 2016 to June, 2017, 30 patients with stroke were assigned randomly into control group (n = 15) and treatment group (n = 15). Both groups accepted routine physical therapy, the control group accepted anti-gravity treadmill training, while the treatment group accepted dual-task training with anti-gravity treadmill, for four weeks. They were measured with balance training and evaluation system, and assessed with Fugl-Meyer Assessment-lower extremity (FMA-L), Berg Balance Scale (BBS) and modified Barthel Index (MBI), before and after treatment. Results The range of swaying on X axial (Rx) and Y axial (Ry), as well as rectangle area (RecArea) decreased after treatment in the treatment group (t > 4.719, P < 0.001), while RecArea decreased in the control group (t = 5.069, P < 0.001). Ry and RecArea were less in the treatment group than in the control group (t > 2.288, P < 0.05). The scores of FMA-L, BBS and MBI improved after treatment in both groups (t > 7.316, P < 0.001), and improved more in the treatment group than in the control group (t > 2.322, P < 0.05). Conclusion The dual-task training via anti-gravity treadmill may improve motor and balance function in stroke patients, and promote the activities of daily living.

Key words: stroke, dual-task training, balance, anti-gravity treadmill

中图分类号:

R743.3

蔡庆, 谢丽君, 赵绿玉, 叶鹏瑛, 苏敏芝, 张淑娴, 高惠刚, 胡昔权, 陈曦. 基于反重力跑台训练系统的双重运动任务训练对脑卒中患者平衡功能的效果[J]. 《中国康复理论与实践》, 2018, 24(11): 1315-1319.

CAI Qing, XIE Li-jun, ZHAO Lü-yu, YE Peng-ying, SU Min-zhi, ZHANG Shu-xian, GAO Hui-gang, HU Xi-quan, CHEN Xi. Effects of Dual-task Motor Training with Anti-gravity Treadmill on Motor and Balance after Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(11): 1315-1319.

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基于反重力跑台训练系统的双重运动任务训练对脑卒中患者平衡功能的效果

Effects of Dual-task Motor Training with Anti-gravity Treadmill on Motor and Balance after Stroke

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