智能有氧踏车训练对不同病程脑梗死患者的效果

doi:10.3969/j.issn.1006-9771.2022.07.013

Abstract

Abstract:

Objective To investigate the effects of an intelligent aerobic bicycle training on lower limb motor function, cardiopulmonary function and activities of daily living (ADL) in patients with ischemic stroke at different courses.

Methods From November, 2019 to November, 2021, 138 ischemic stroke patients were stratified-randomly divided into control group (n = 69) and experimental group (n = 69). All the patients received medication and routine rehabilitation training, and the experimental group additionally received intelligent aerobic bicycle training, for eight weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), peak oxygen uptake (VO₂peak), Six-minute Walk Test (6MWT) and modified Barthel Index (MBI) before, and four weeks and eight weeks after treatment.

Results The performances of FMA-LE, VO₂peak, 6MWT and MBI improved in both groups after treatment (|t| > 6.763, P <0.001), and improved more in the experimental group than in the control group (|t| > 2.439, P <0.05). For the patients beginning training less than one month after stroke, the performances of FMA-LE, VO₂peak and 6MWT improved more in the experimental group than in the control group (|t| > 2.036, P <0.05); for those during one to three months, the performances of 6MWT and MBI improved more (|t| > 2.005, P <0.05); for those during three to six months, the performances of all the tests were not significantly different (|t| < 1.303, P >0.05).

Conclusion Intelligent aerobic bicycle training may improve the lower limb motor function, cardiopulmonary function and ADL for patients with ischemic stroke, especially intervening earlier.

Key words: ischemic stroke, aerobic cycling, motor, cardiopulmonary function, activities of daily living

CLC Number:

R743.32

HAN Kaiyue,LIU Guangliang,SU Wenlong,TANG Zhiqing,ZHANG Hao. Effects of intelligent aerobic bicycle training on ischemic stroke patients at different disease courses[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(7): 822-827.

Figures/Tables 9

References 34

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项目	病程< 1个月		病程1~3个月		病程> 3~6个月		t/χ²值^a	P值^a	t/χ²值^b	P值^b	t/χ²值^c	P值^c
项目	对照组 (n = 23)	试验组 (n = 23)	对照组 (n = 23)	试验组 (n = 23)	对照组 (n = 23)	试验组 (n = 23)	t/χ²值^a	P值^a	t/χ²值^b	P值^b	t/χ²值^c	P值^c
性别(男/女)/n	12/11	13/10	16/7	19/4	19/4	17/6	0.880	0.767	1.075	0.300	0.511	0.475
年龄/岁	64.96±8.68	65.78±7.98	60.43±6.36	58.65±10.61	64.17±10.60	64±7.78	0.334	0.740	-0.690	0.494	-0.062	0.951
病灶侧(左/右)/n	8/15	6/17	7/16	9/14	7/16	6/17	0.411	0.522	0.383	0.536	0.107	0.743
高血压/n	14	15	19	14	20	19	0.093	0.760	2.681	0.102	0.168	0.681
糖尿病/n	10	8	9	5	4	8	0.365	0.546	1.643	0.200	1.804	0.179
NHISS	6.78±2.00	6.00±1.81	5.04±1.58	5.35±1.77	5.00±1.20	5.52±1.34	-1.387	0.172	0.627	0.534	1.386	0.173
左室射血分数/%	61.74±5.44	61.43±4.24	61.13±3.99	61.96±5.82	63.35±5.38	61.65±4.37	-0.212	0.833	0.561	0.577	-1.174	0.247

组别	n	治疗前	治疗4周	治疗8周	t值^a	P值^a	t值^b	P值^b
对照组	69	24.00(23.34~24.66)	26.83(26.17~27.48)	28.39(27.73~29.05)	-16.846	< 0.001	-8.079	< 0.001
试验组	69	24.09(23.43~24.75)	27.99(27.33~28.64)	29.86(29.20~30.51)	-12.212	< 0.001	-6.763	< 0.001
t值		0.183	2.439	3.079
P值		0.855	0.016	0.002

组别	n	治疗前	治疗4周	治疗8周	t值^a	P值^a	t值^b	P值^b
对照组	69	15.59(15.14~16.05)	16.32(15.86~16.78)	16.91(16.45~17.37)	-19.124	< 0.001	-9.171	< 0.001
试验组	69	15.58(15.12~16.03)	17.16(16.70~17.61)	18.31(17.85~18.76)	-13.863	< 0.001	-7.678	< 0.001
t值		-0.051	2.533	4.239
P值		0.959	0.012	< 0.001

组别	n	治疗前	治疗4周	治疗8周	t值^a	P值^a	t值^b	P值^b
对照组	69	171.16(158.62~183.70)	244.06(231.51~256.60)	332.46(319.92~345.01)	-24.939	< 0.001	-21.556	< 0.001
试验组	69	171.88(159.34~184.43)	284.06(271.51~296.60)	381.01(368.47~393.56)	-16.207	< 0.001	-19.655	< 0.001
t值		0.080	4.418	5.363
P值		0.936	< 0.001	< 0.001

组别	n	治疗前	治疗4周后	治疗8周后	t值^a	P值^a	t值^b	P值^b
对照组	69	63.41(60.66~66.15)	71.38(68.63~74.12)	77.03(74.28~79.77)	-19.586	< 0.001	-9.306	< 0.001
试验组	69	65.07(62.33~67.82)	78.19(75.44~80.93)	84.42(81.68~87.16)	-11.903	< 0.001	-8.440	< 0.001
t值		0.843	3.447	3.740
P值		0.400	< 0.001	< 0.001

Effects of intelligent aerobic bicycle training on ischemic stroke patients at different disease courses

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组别	n	< 1个月	1~3个月	> 3~6个月
对照组	23	25.07(24.00~26.14)	26.64(25.57~27.71)	27.51(26.44~28.58)
试验组	23	26.71(25.64~27.78)	27.41(26.34~28.47)	27.81(26.74~28.88)
t值		2.123	0.996	0.395
P值		0.036	0.321	0.694

组别	n	< 1个月	1~3个月	> 3~6个月
对照组	23	15.53(14.75~16.31)	16.23(15.45~17.01)	17.07(16.29~17.85)
试验组	23	16.67(15.89~17.45)	17.01(16.23~17.79)	17.36(16.58~18.14)
t值		2.036	1.389	0.513
P值		0.044	0.167	0.609

组别	n	< 1个月	1~3个月	> 3~6个月
对照组	23	219.71(199.91~239.51)	244.06(231.51~256.60)	332.46(319.92~345.01)
试验组	23	261.16(241.36~280.96)	284.06(271.51~296.60)	381.01(368.47~393.56)
t值		2.890	2.031	1.303
P值		0.005	0.044	0.195

组别	n	< 1个月	1~3个月	> 3~6个月
对照组	23	68.77(64.20~73.33)	69.49(64.93~74.06)	73.55(68.98~78.12)
试验组	23	74.86(70.29~79.42)	76.09(71.52~80.65)	76.74(72.17~82.31)
t值		1.851	2.005	0.969
P值		0.067	0.047	0.334

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