脑卒中偏瘫患者步行训练的临床体验

目的：总结脑卒中偏瘫患者步行训练的临床体验。方法：应用以促通技术为主的神经肌肉再训练法治疗脑卒中５０ 例，于治疗前后采用Ｂｒｕｎｎｓｔｒｏｍ 分期进行康复评价。结果：训练后下肢Ｂｒｕｎｎｓｔｒｏｍ 分期Ⅳ－ Ⅵ级比率由４０％ 提高到９６％ ，其中能独立步行的比例由原来的２６％ 提高到９２％ ，步态优良率达８４％ ，训练前后两者存在显著性差异（Ｐ＜ ０．０５） 。结论：通过提高髋膝踝关节肌肉控制能力，可以提高步行能力和步行质量。

Clinical experience on gait retraining in hemiplegic patients

To study the effect of gait retraining in stroke patients.Methods:50 cases of hemiplegic patients were received gait retraining with neurologic facilitation techiques as the main approach.Brunnstrom recovery stage were used to assess the motor function.Result:It indicated that there were significant difference between before treatment and after treatment(P<0.05).Conclusion:It is demonstrated that the walking ability and walking quality of hemiplegia patients could improved by promoting the muscular function and the controlling ability of the hips,knees and ankles.