全身振动训练对脑卒中患者下肢功能的效果.pdfVIP

中国康复理论与实践2019 年3 月第25 卷第3 期Chin J Rehabil Theory Pract, Mar., 2019, Vol. 25, No .3 - 347 - DOI:: 10.3969/j.issn.1006⁃9771.2019.03.018 ·临床研究 · 全身振动训练对脑卒中患者下肢功能的效果 金振华，陈玲，叶祥明 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：叶祥明，E-mail ：315926096@ 摘要 目的 探讨在下肢负重训练的基础上，联合全身振动训练对脑卒中患者下肢负重、平衡和步行能力的效果。 方法 2017 年住院脑卒中患者70 例，随机分为对照组和实验组，各35 例。两组均予常规康复和下肢负重训练， 实验组另予全身振动训练，共6 周。治疗前后采用患侧单足负重时间、步长和步速、Berg 平衡量表(BBS) 和功能性步行分级(FAC)进行评估。 结果 治疗后，两组患侧单腿负重时间、步长、步速、BBS 评分和FAC 分级均显著提升(t 8.835, P 0.001) ， 实验组显著优于对照组(F 19.644, P 0.001) 。 结论 全身振动训练能进一步改善脑卒中患者下肢负重、平衡和步行功能。 关键词 脑卒中；下肢；全身振动训练；负重；平衡；步行 Effect of Whole Body Vibration on Abilities of Lower Extremities for Stroke Patients JIN Zhen-hua, CHEN Ling, YE Xiang-ming Zhejiang Provincial Peoples Hospital, Hospital of Hangzhou Medical College, Hangzhou, Zhejiang 310014, China Correspondence to YE Xiang-ming, E-mail: 315926096@ Abstract Objective To explore the effect of whole body vibration (WBV) on lower extremities loading, balance and walking for stroke patients based on weight-bearing training. Methods In 2017, 70 stroke inpatients were randomly divided into control group (n = 35) and experimental group (n = 35). They all accepted routine rehabilitation and weight-bearing training, while the experimental group accepted WBV in addition, for six weeks. They were assessed with weight-bearing time, gait length and speed, Berg Bal‐ ance Scale (BBS) and Functional Ambulation Category (FAC) before and after treatment. Results The weight-bearing time, gait length and speed, and the scores of BBS and FAC improved after treatment in both groups (t 8.835, P 0.001), and improved more in the expe