基于ICF脑卒中核心分类组合评价轨道减重步行训练对脑卒中患者下肢运动功能康复的效果

目的 采用《国际功能、残疾和健康分类》(ICF)脑卒中核心分类组合评价轨道减重步行训练对脑卒中患者下肢运动功能康复的效果。方法 2021年4月至10月，太和医院武当山院区15例脑卒中患者进行轨道减重步行训练，每次30 min，每天1次，每周5 d，共4周，治疗前后采用Fugl-Meyer评定量表下肢部分(FMA-LE)、Berg平衡量表(BBS)、6分钟步行试验(6MWT)、ICF脑卒中核心分类组合步态部分以及三维步态分析进行评定。结果 干预后，脑卒中患者在ICF脑卒中核心分类组合步态功能限定值、FMA-LE评分、BBS评分、6MWT距离、步速、步态对称性、髋膝关节最大活动角度均明显提高(|t|> 4.141, P <0.01)。结论 轨道减重步行可以改善脑卒中患者下肢运动功能及步态。

Effect of track body weight support walking training on lower limb motor function in stroke patients: based on ICF Core Set for Stroke

Objective To evaluate the effect of track body weight support walking training on lower limb motor function in stroke patients using International Classification of Functioning, Disability and Health (ICF) Core Sets for Stroke. Methods From April to October, 2021, 15 stroke patients from Wudang Mountain Hospital received track body weight support walking training everyday for 30 minutes, five times a week for four weeks. Before and after treatment, they were evaluated with Fugl-Meyer Assessment-Lower Extremities (FMA-LE), Berg Balance Scale (BBS), 6-minute Walking Test (6MWT), ICF Core Set for Stroke (gait), and three-dimensional gait analysis. Results After treatment, the ICF gait function qualifier, FMA-LE score, BBS score, the distance of 6MWT, gait speed, gait symmetry and and the maximum motion angle of hip and knee increased (|t| > 4.141, P < 0.01). Conclusion Track body weight support walking training could improve the lower limb motor function and gait of stroke patients.