《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (09): 826-827.

• 专题 • 上一篇    下一篇

减重步行训练对脑卒中偏瘫患者下肢功能的影响

林建强; 孙晓敏; 龚艳菲; 叶宏   

  1. 南京军区杭州疗养院军区理疗体疗专科中心,浙江杭州市 310007
  • 收稿日期:2008-03-10 出版日期:2008-09-01 发布日期:2008-09-01

Effect of Body-weight Supported Treadmill Training on Hemiplegic Patients after Stroke

LIN Jian-qiang, SUN Xiao-min, GONG Yan-fei, et al   

  1. Center of Physiotherapy and Exercise Therapy, Hangzhou Sanatorium of Nanjing Military Region, Hangzhou 310007, Zhejiang, China
  • Received:2008-03-10 Published:2008-09-01 Online:2008-09-01

PDF (PC)

摘要： 目的观察减重步行训练(BWSTT)对脑卒中偏瘫患者下肢功能的影响。方法脑卒中偏瘫患者46例,分成治疗组23例及对照组23例,两组患者均给予常规康复训练,治疗组在此基础上增加BWSTT训练。分别于治疗前后进行功能性步行量表(FAC)、Fugl-Meyer运动功能评定(FMA)、Berg平衡量表(BBS)评定。结果治疗前两组患者FAC、FMA、BBS评分均无显著性差异(P>0.05)。治疗后,两组患者FAC、FMA、BBS评分均比治疗前明显提高(P<0.01)。治疗组患者FAC、FMA、BBS评分的改善明显优于对照组(P<0.01)。结论BWSTT训练能改善脑卒中偏瘫患者步行功能及平衡能力。

关键词: 减重步行训练, 脑卒中, 偏瘫, 下肢功能, 平衡, 康复

Abstract: Objective To investigate the effects of body-weight support treadmill training(BWSTT) on function of lower limbs.Methods 46 hemiplegic patients after stroke were randomly divided into the therapy group(n=23) and control group(n=23).The subjects of both groups were administered with standardized rehabilitation program.The therapy group was also given BWSTT in addition.Both groups were evaluated before and after treatment using Functional Ambulation Category(FAC),Fugl-Meyer Assessment(FMA),Berg Balance Scale(BBS).Results Before treatment,there was no significant difference between these 2 groups in terms of scores with FAC,FMA and BBS.After treatment,both groups were significantly improved regard to their scores with FAC,FMA and BBS(P<0.01),with the therapy group scored significantly better than the control group(P<0.01).Conclusion BWSTT can significantly improve walk ability and balance function of the hemiplegic patients after stroke.

Key words: body-weight supported treadmill training (BWSTT), stroke, hemiplegia, function of lower limbs, balance, rehabilitation