早期加强膝关节稳定训练对脑卒中患者膝过伸的影响

目的:探讨脑卒中患者早期加强膝关节稳定性训练的作用.方法:58例脑卒中患者分为A组30例和B组28例,均给予必要的药物及常规康复治疗,A组患者在发病早期即配合膝关节稳定性训练.结果:治疗3个月后,A组发生膝过伸患者9例,B组17例(30%、60.7%,P＜0.05);2组Holden功能性行走能力与治疗前比较有很大提高(P＜0.01),2组间比较,A组提高更显著(P＜0.01).结论:早期加强脑卒中患者的膝关节稳定性训练可以减少膝过伸的发生,提高行走能力.

Effect to Genu Recurvatum of Enhancing Steady Training to Knee Joint of Stroke Patients in Early Course of Diseases

Objective: To investigate the function of enhancing steady training to knee joint of stroke patients in early course of diseases.Methods: 58 patients were randomly divided into treatment group(30 cases) and control group(28 cases) and were subjected to medical and general rehabilitation therapy,meanwhile the patients in treatment group received enhancing steady training to knee joint in early course of diseases.Results: After training for 3 months,there was obvious difference in the occurrence of genu recurvatum between two groups.There were 9 and 17 patients with genu recurvatum in treatment and control groups respectively(30.0 % and 60.7 % respectively,P<0.05).Holden functional ambulation classification(FAC) after treatment was significantly improved as compared with that before treatment in two groups(P<0.01),and that was improved more significantly in treatment group than in control group(P<0.01).Conclusion: Enhancing steady training to knee joint of stroke patients in early course of diseases can reduce their genu recurvatum and effectively improve their gait.