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闭目训练对脑卒中患者步行功能的影响
引用本文:谢辉,刘兆平,何旭光.闭目训练对脑卒中患者步行功能的影响[J].中国中医急症,2012,21(1):6-7,12.
作者姓名:谢辉  刘兆平  何旭光
作者单位:湖南省郴州市第一人民医院,湖南郴州,423000
基金项目:湖南省中医药科研计划课题(2010101)
摘    要:目的 观察闭目训练对脑卒中患者步行功能的影响.方法 符合入选标准的62例脑卒中患者通过随机分为对照组(30例)与闭目训练组(32例),均采用以Bobath和Brunnstrom为主的现代康复技术进行治疗,按脑卒中功能障碍的特点循序渐进1次/d,每次60min.闭目训练组在上述的基础.上增加闭目下双腿站立、闭目下健/患侧下肢站立、闭目下健/患侧腿交替抬阶梯、闭目下交替迈步、闭目步行和闭目上下楼梯训练.治疗前和治疗8周后用Fugl-Meyer评定法(下肢)、Barthe指数评分法、10m步行时间、Holder步行功能分级、步行能力的评价(根据康复结束出院时患者的步行自立度:独立步行、监视步行、辅助步行、乘坐轮椅和卧床5个等级来评估)对患者步行能力进行评定.结果 治疗前两组患者在Fugl-Meyer评定法(下肢)、Barthe指数评分法、步行速度、Holder步行功能分级方面的差异没有统计学意义;治疗8周后两组患者治疗前后及治疗后两组患者的运动功能、日常生活能力、步行速度和步行功能分级均有明显改善.结论 闭目训练能显著改善脑卒中偏瘫患者步行能力.

关 键 词:闭目训练  步行功能  脑卒中

Effect of Eyeclosure Exercise on Walking Ability in Stroke Patients
XIE Hui , LIU Zhao-ping , HE Xu-guang.Effect of Eyeclosure Exercise on Walking Ability in Stroke Patients[J].Journal of Emergency in Traditional Chinese Medicine,2012,21(1):6-7,12.
Authors:XIE Hui  LIU Zhao-ping  HE Xu-guang
Institution:.Chenzhou No.1 People′s Hospital of Hunan Province,Hunan,Chenzhou,423000
Abstract:Objective:To investigate the effect of eyeclosure exercise on the walking ability in stroke patients.Methods:62 patients with stroke were divided into the control group and the eyeclosure exerciese group.2 groups were both used the normal rehab-treatment which was carried out once a day according the dysfunction characteristics.Meanwhile,the eyeclosure exercise group was added more exercises under eyeclosure such as standing,unilateral-standing,side by side standing,walking up and down stairs.There were some indices observed before treatment and after treatment for 8 weeks including the Fugl-meyer accessment(under limp),the Bathel index measure,the 10m walking time and the Holder walking function evaluation.Results: There were no significant differences between 2 groups such as the Fugl-meyer accessment(under limp),the Bathel index measure,the walking speed and the Holder walking function evaluation.After therapy 8 weeks,some indices were improved significantly after treatment such as the movement function,the daily living activity,the walking speed and the walking function.Conclusion: Eyeclosure exercise can improve obviously the walking ability of stroke subjects.
Keywords:Eyeclosure exercise  Walking function  Stroke
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