减重步行训练对不完全脊髓损伤患者步行能力的影响

目的探讨减重步行训练对不完全脊髓损伤（ISCI）患者步行能力的影响。方法将42例ISCI患者随机分为减重步行训练（BWSTT）组（n=22）和对照组（n=20）。两组患者均接受常规截瘫康复治疗。BWSTT组在常规康复治疗基础上，每日行减重步行训练1次，共计治疗1个月。分别于治疗前及治疗1个月后，采用步长、步速、功能性步行分级对患者的步行能力进行评定。结果治疗前，BWSTT组和对照组患者的步长、步速和功能性步行分级差异无显著性（P〉0．05）。治疗1个月后，两组患者的步长、步速和功能性步行分级与治疗前相比较，差异具有显著性（P〈0．05）；且BWSTT组患者的步长、步速和功能性步行分级与对照组相比较，差异具有显著性（P〈0.05）。结论在常规康复治疗基础上应用减重步行训练，能更大程度提高不完全脊髓损伤患者的步行能力。

The influence of body weight support treadmill training for walking ability on the patients after imcomplete spinal cord injury

Objective To investigate the influence of body weight support treadmill training （BWSTr） for walking ability on the patients after imcomplete spinal cord injury（ISCI）. Methods 42 patients with ISCI were divided into two groups： the BWSTr group （n =22） and the control group （ n =20）, Both groups received the similar treatments with rehabilitation training, while the patients in the BWSTr group were additionally treated with BWSIT one time every day for one month. The Functional Ambulation Category（（FAC） scale, stride length and overground walking speed （OWS） were used to assess the walking ability before the treatment and one month after the treatment, respectively. Results No significant difference was found in stride length, OWS and the scores of FAC between the two groups before treatment. Stride length, OWS and the scores of FAC of all patients from the two groups were significantly increased one month after the treatment, as compared with that before the treatment（ P 〈 0.05 ）. Stride length, OWS and the scores of FAC were significantly increased in the BWSTr group than the control group （ P 〈 0.05 ）. Conclusion On the basis of conventional rehabilitation, BWSTr could improve walking ability more significantly on the patients with ISCI.