《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (2): 181-183.

• 论文 • 上一篇    下一篇

社区康复对脑卒中后典型偏瘫步态的疗效观察

罗峰，马丹，秦宏   

  1. 上海市杨浦区殷行社区卫生服务中心，上海市 200438。
  • 收稿日期:2010-08-20 修回日期:1900-01-01 出版日期:2011-02-25 发布日期:2011-02-25

Effect of Community-based Rehabilitation on Typical Hemiplegic Gait Post Stroke

LUO Feng, MA Dan, QIN Hong.   

  1. Yinhang Community Service Center, Shanghai 200438, China
  • Received:2010-08-20 Revised:1900-01-01 Published:2011-02-25 Online:2011-02-25

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被引次数

22

摘要： 目的观察社区康复中步行训练对脑卒中后典型偏瘫步态的疗效。方法符合入选标准的50例脑卒中患者分为两组：治疗组25例，在社区医院接受系统的步行训练，每周5次，连续干预3个月；对照组25例，在家中自行步行训练，每周随访1次。分别在入组时和治疗1个月、3个月后进行“起立-行走”计时测试、Fugl-Meyer下肢运动功能评测及生活满意度评分(SWLS)。结果两组在治疗1个月后，“起立-行走”计时测试、Fugl-Meyer下肢运动功能评测、生活满意度评分无显著差异。治疗3个月后治疗组较治疗前有明显好转，并优于对照组(P<0.05)。结论在社区中开展步行训练能改善脑卒中后典型偏瘫步态，提高患者的步行质量。

关键词: 偏瘫步态, 步行训练, 脑卒中, 社区康复

Abstract: ObjectiveTo observe the effect of the ambulation training on the typical hemiplegic gait in community.Methods50 stroke patients with typical hemiplegic gait were divided into two groups: treatment group was treated with systematic rehabilitation training, 5 times each week for 3 months, and control group accepted self-walking training. The follow-up was performed every week at home. The two groups were assessed by the timed "up & go" test, the Fugl-Meyer Assessment(FMA) and Satisfaction with Life Scale(SWLS).ResultsThe scores of the timed "up & go" test, FMA, and SWLS showed that there weren't significant difference between the treatment group and the control group 1 month after treatment; but the scores in the treatment group were obviously higher than those in the control group 3 months after treatment.ConclusionAmbulation training could improve the typical hemiplegic gait and quality of walking of stroke patients with hemiplegic gait in community.

Key words: hemiplegic gait, ambulation training, stroke, community-based rehabilitation