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综合康复治疗对脑卒中急性期运动功能的疗效观察
引用本文:王欣,田秀娟,王金玲,陈莉.综合康复治疗对脑卒中急性期运动功能的疗效观察[J].中国康复,2013,28(1):15-16.
作者姓名:王欣  田秀娟  王金玲  陈莉
作者单位:上海阳光康复中心康复治疗部成人PT疗法科,上海,201619
基金项目:上海市残疾人康复科研项目(K201021)
摘    要:目的:观察不同步行训练方法对脑卒中患者步行能力的疗效。方法:脑卒中患者60例,随机分为传统步行训练组(CGT组)、减重步行训练组(BWSTT组)和减重步行机器人训练组(GRT组)各20例。3组均行常规康复训练并行相应的步行训练。训练前后分别应用Berg平衡量表(BBS)、10米步行能力测试(10mWT)、足印法步态分析(GAF)、3min步行测试(3minWT)评估患者平衡及步行能力。结果:治疗8周后,3组BBS评分、步速、步长比均较治疗前明显提高,生理消耗指数(PCI)评分均较治疗前明显降低(均P〈0.05);GRT组和BWSTT组的步速、步长比、PCI评分均明显优于CGT组(均P〈0.05)。治疗期间,GRT组所需的人工总量明显低于BWSTT组和CGT组(均P〈0.05)。结论:减重机器人步行训练能提高脑卒中患者的平衡和步行能力,并且节省人工。

关 键 词:脑卒中  步行训练  机器人

Effect of comprehensive rehabilitation therapy on motor function of patients with acute cerebral stroke
Institution:LIU Hua-wei,WANG Hui-fang,ZHU Jin-jie,et al.Department of PT,Shanghai Sunshine Rehabilitation Center,Shanghai 201619,China
Abstract:Abstract] Objective:To investigate the effectiveness of different gait training methods on walking ability of stroke patients. Methods: Sixty stroke patients were randomly divided into three groups: conventional gait training group (CGT), body weight support treadmill training group (BWSTT), gait robot training with body weight support treadmill group (GRT) (n=20 each group). Each group received routine rehabilitation and relevant walking training. Berg balance scale (BBS), 10-m walking tests (10-mWT), gait analysis with footmark (GAF), and 3-min walking tests (3-minWT) were used to assess the balance and walking ability of patients before and after treatment. Results: After training for 8 weeks,the score of BBS,walking speed, step size proportion of three groups were significantly improved as compared with pre training,and physiological cost index(PCI) score was significantly decreased (all P〈0.05). Walking speed,step size proportion,PCI score of groups GRT and BWSTT were obviously improved as compared with those of group CGT(all P〈0.05). During the treatment, group GRT required less therapists assisting than groups BWSTT and CGT. Conclusion:Gait robot training with body weight support treadmill can improve balance and walking ability of patients with stroke and requires less therapists assisting.
Keywords:stroke  gait training  robots
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