《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (08): 714-716.

• 专题 • 上一篇    下一篇

减重平板步行训练对不完全性脊髓损伤患者步行能力的影响

孟宪国1;范晓华2;宫艺2;刁健生2   

  1. 1.山东医学高等专科学校康复医学系，山东济南市 250002;2.山东大学附属省立医院康复医学中心，山东济南市 250021
  • 收稿日期:2009-03-16 出版日期:2009-08-01 发布日期:2009-08-01

Effects of Body-weight Support Treadmill Training on Ambulatory Capacity of Individuals Following Incomplete Spinal Cord Injury

MENG Xian-guo,FAN Xiao-hua,GONG Yi,et al   

  1. Rehabilitation Department of Shandong Medical College, Ji'nan 250002, Shandong, China
  • Received:2009-03-16 Published:2009-08-01 Online:2009-08-01

PDF (PC)

被引次数

14

摘要： 目的 研究减重平板步行训练对不完全性脊髓损伤（ISCI）患者步行能力的影响。方法 36例 ISCI 患者（分类为ASIA C或D），随机分为对照组与减重组（各18例）。所有患者采用综合康复治疗方法，减重组还在身体条件许可的情况下接受减重平板步行训练3个月。在训练前后对患者进行ASIA下肢运动评分、功能独立性评定（FIM）步行能力评定、10 m步行速度、日常生活活动能力（ADL）评定。结果 减重组患者ASIA下肢运动功能、步行能力、10 m步行速度的恢复好于对照组（P<0.05）。康复治疗前后减重组与对照组ADL评分无显著性差异（P>0.05）。结论 减重平板步行训练能够提高不完全性脊髓损伤患者的步行能力。

关键词: 不完全性脊髓损伤, 步行能力, 减重平板步行训练

Abstract: Objective To explore the effect of body-weight support treadmill training (BWSTT)on ambulatory capacity in individuals following incomplete spinal cord injury (ISCI).Methods 36 cases of incomplete SCI patients were divided randomly into control and BWSTT groups who were classified as ASIA C or D.All received comprehensive rehabilitation, and patients in BWSTT group also received BWSTT for 3 months when the physical condition was permitted.They were assessed before and after treatment.The evaluation items included measurement of ASIA lower-extremity motor assessment, functional independence measure (FIM) ambulatory function measure, 10meter ambulatory velocity and modified Barthel Index.Results The scores of ASIA lower-extremity motor assessment, FIM ambulatory function, the ambulatory 10-meter velocity in BWSTT group improved significantly when compared with the control group (P<0.05).The scores of modified Barthel Index were no difference between two groups before and after treatment (P<0.05).Conclusion BWSTT could improve ambulatory capacity for incomplete SCI patients

Key words: incomplete spinal cord injury, ambulatory capacity, bodyweightsupport treadmill training