斜坡下减重步行训练对脑卒中后患者步态的疗效-中国康复理论与实践.pdf

中国康复理论与实践2018年7月第24卷第7期 ChinJRehabilTheoryPract,Jul., 2018,Vol.24,No.7 - 839 - DOI: 10.3969/j.issn. 1006-9771.2018.07.016 ·临床研究 · 斜坡下减重步行训练对脑卒中后患者步态的疗效① 沈一吉，朱迪，陈舒，谭同才 浙江省人民医院，杭州医学院附属人民医院，浙江杭州市310014 通讯作者：沈一吉。E-mail: azraelkksk@ 163.com 摘要 目的 探讨在斜坡上进行减重步行训练对脑卒中后患者步行的影响。 方法 2015 年3 月至2017 年6 月，46 例脑卒中患者随机分为对照组和实验组各23 例。两组均予常规康复，实验 组加用斜坡下减重步行训练，对照组加用平地下减重步行训练。治疗前和治疗3 周后，使用Fugl-Meyer 评定量表下肢部分(FMA-LE)、Berg 平衡量表(BBS)、Tinetti 步态评估量表(TGA)进行评估。 结果 治疗后，两组FMA-LE 、BBS 和TGA 评分提高(t2.491, P0.05) ，实验组高于对照组(t2.195, P0.05) 。 结论 减重步行训练能有效改善脑卒中后患者的步态，斜坡下减重步行训练效果更显著。 关键词 脑卒中；偏瘫；步态；减重步行训练；斜坡训练；康复 Effect of Body Weight Support Treadmill Training on Slope on Gait of Patients after Stroke SHEN Yi-ji, ZHU Di, CHEN Shu, TAN Tong-cai Zhejiang Provincial Peoples Hospital, Peoples Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China Correspondence to SHEN Yi-ji. E-mail: azraelkksk@ 163.com Abstract Objective To apply the body weight support treadmill training (BWSTT) on slope for gait training in patients after stroke. Methods From March, 2015 to June, 2017, 46 patients after stroke were randomly divided into control group (n=23) and experimental group (n=23). Both groups accepted routine rehabilitation, and the experimental group accepted BWSTT on slope, while the control group accepted BWSTT on flat. They were assessed with Fugl-Meyer As- sessment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS) and Tinetti Gait Analysis (TGA) before and after treatment. Results The scores of FMA-LE, BBS and TGA improved after treatment (t2.491, P0.05), and were more in the experi- mental group than in the control