弹性绳带训练联合Frenkel体操对伴共济失调的脑卒中患者平衡及步行功能的影响

目的：观察弹性绳带训练联合Frenkel体操对伴有共济失调的脑卒中患者平衡及步行功能的影响。方法：将40例伴共济失调脑卒中患者随机分成绳带组和对照组各20例。2组患者均进行常规的康复训练和站立平衡步行训练。绳带组采用弹性绳带加压下进行站立位平衡和步行训练方案。治疗前后对2组患者进行Berg平衡量表（BBS）、10m步行测试(10MWT)、3米起立-走测试(TUGT)及共济失调等级评定量表(SARA)的评估。结果：治疗6周后,2组BBS和10MWT评分均较治疗前显著提高（P＜0.01）,TUGT和SARA评分均较治疗前显著降低（P＜0.05）;绳带组的BBS评分和10MWT评分明显高于对照组（P＜0.01）,TUGT和SARA评分明显低于对照组（P＜0.05）。结论：弹性绳带训练联合Frenkel体操能显著提高伴共济失调的脑卒中患者的平衡及步行功能。

Effects of elastic roping exercise combined with Frenkel exercise on balance function and walking function of post-stroke patients with ataxia

Objective: To observe the effects of elastic roping exercise combined with Frenkel exercise on balance function and walking function of post-stroke patients with ataxia. Methods: A total of 40 post-stroke patients with ataxia were randomly divided into treatment group and control group, with 20 cases in each group. Both groups received routine rehabilitation training (30 min/d) and balance and walking training (30 min/d). Additionally, the treatment group received the standing balance and walking training with elastic roping. They were assessed with Berg Balance Scale (BBS), Timed Up and Go Test (TUGT), 10-m Walking Test (10MWT) and Scale for Assessment and Rating of Ataxia (SARA) before and after treatment. Results: After 6 weeks of treatment, BBS and 10MWT scores in the two groups were significantly increased (P<0.05), and TUGT and SARA scores were significantly reduced (P<0.05) as compared with those before treatment.The scores of TUGT and SARA were significantly lower, and the BBS and 10MWT scores were higher in the elastic roping group than in the control group (P<0.05). Conclusion: Elastic roping exercise combined with Frenkel exercise can improve the balance function and walking function of post-stroke patients with ataxia.