四肢联动对脑卒中偏瘫患者恢复期步行能力的影响

目的探讨四肢联动对恢复期脑卒中患者步行能力的影响。方法将具有一定步行能力的70例脑卒中患者随机分为治疗组和对照组，每组各35例。对照组采用常规康复训练方法，治疗组在对照组的基础上，加用美国进口四肢联动（NustepT4）运动训练。治疗前和治疗8周后分别评定患者的运动功能（采用Fugl—Meyer评分）、平衡功能（采用Berg平衡量表），日常生活能力（ADL能力，采用改良Barthel指数）及步行能力（采用10m步行时间和6min内步行距离测定）。结果治疗8周后两组患者的运动功能、平衡功能、步行能力和ADL能力均有改善（P〈0．05），且治疗组患者改善情况优于对照组（P〈0．05）。结论四肢联动系统训练可改善脑卒中恢复期偏瘫患者运动能力、平衡能力和ADL能力，提高其步行能力。

A Study on Nustep-T4 on Walking Ability of Stroke Patients with Hemiplegia at Convalescent Period

Objective To investigate the effect of Nustep-T4 on walking ability of stroke patients with hemiplegia at convalescent period.Methods Seventy patients with hemiplegia after stroke of 3 to 6 months with a certain walking capability were randomly divided into the treatment group and control group with 35 cases in each. The control group was treated with routine reha- bilitation- training; the treatment group was added with the Nustep-T4 training. All patients were assessed with simplified Fugle-Meyer Assessment （ FMA）, Berg Balance Scale （ BBS）, Ambulation capacity （walking time in 10 meters and walking distance in 6 minutes）, changes of spasticity and the ability of daily living （ADL） at the time of before treatement and 8 weeks later. Results The motor function of lower extremity, balance performance, walking capability and ADL of the patients in two groups improved （P〈0.05） after 8 weeks of treatment, but the therapeutic effect of the treatment group was better than that of control group （P〈0.05）. Con- clusion The Nustep T4 combined with routine rehabilitation training can distinctly improve the motor function of lower extremity, balance performance and ADL ability, can also improve the walking ability.