《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (02): 121-123.

• 专题 • 上一篇    下一篇

下肢功率自行车运动对脑卒中偏瘫患者步行能力的影响

李长顺; 崔贵祥; 冯金平; 徐丽利; 高华; 江平胤; 李义召   

  1. 山东省残疾人康复中心康复医学科,山东济南市 250022
  • 收稿日期:2007-09-17 出版日期:2008-02-01 发布日期:2008-02-01

Effect of Leg Cycle Ergometer on Walking Ability of Stroke Patients with Hemiplegia

LI Chang-shun, CUI Gui-xiang, FENG Jin-ping, et al.   

  1. The Department of Rehabilitation, the Disabled Rehabilitation Center of Shandong Province, Jinan250022, Shandong, China
  • Received:2007-09-17 Published:2008-02-01 Online:2008-02-01

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摘要： 目的探讨功率自行车运动对恢复期脑卒中患者步行能力的影响。方法将具有一定步行能力的70例病程为3～6个月的脑卒中患者随机分为治疗组和对照组,各35例。对照组患者采用常规康复训练方法,治疗组在此基础上,增加功率自行车运动训练。治疗前和治疗6周后分别评定患者的下肢运动功能(采用简化Fugl-Meyer评分)、平衡功能(采用Berg平衡量表)、步行能力(采用10m步行时间和6min内步行距离测定、Holden步行功能评定)、肌张力变化(采用改良Ashworth量表),以及日常生活活动(ADL)能力(采用改良Barthel指数)。结果两组患者的下肢运动功能、平衡功能、步行能力和ADL能力治疗后均有改善(P<0.05),但治疗组患者的效果优于对照组(P<0.05)。结论功率自行车运动可改善恢复期脑卒中偏瘫患者的运动功能、平衡功能和ADL能力,提高其步行能力。

关键词: 脑卒中, 功率自行车, 步行能力

Abstract: Objective To investigate the effect of leg cycle ergometer on walking ability of stroke patients with hemiplegia at convalescent period.Methods Seventy patients with hemiplegia after stroke for 3 to 6 months with a certain walking capability were randomly divided into the treatment group and control group with 35 cases in each group.The control group was treated with routine rehabilitation training;the treatment group was added with leg cycle ergometer training.All patients in the two groups were assessed with simplified Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS),ambulation capacity(walking time in 10 meters and walking distance in 6 minutes and Holden's functional ambulance classification),changes of spasticity,and the ability of daily living(ADL)at the time of begin and 6 weeks later.Results The motor function of lower extremity,balance performance,walking capability and ADL of the patients in two groups improved(P<0.05)after 6 weeks' treatment,but the therapeutic effect of the treatment group was better than the control group(P<0.05).Conclusion The application of leg cycle ergometer combined with routine rehabilitation training can distinctly improve the motor function of lower extremity,balance performance,walking ability and ADL for patients after stroke.

Key words: stroke, leg cycle ergometer, walking ability