减重步行训练对脑卒中患者下肢功能的影响

目的比较减重步行训练结合常规康复治疗与常规康复治疗对脑卒中后偏瘫患者的临床疗效。方法98例脑卒中后偏瘫患者,随机分为2组:减重步行训练结合常规康复治疗组(减重步行训练组,48例);常规康复治疗组(50例)。脑卒中后偏瘫患者入选后分别在治疗前,治疗后的1、2个月进行以下评定:1、下肢运动功能评定(Fugl-Meyer量表);2、功能性步行量表(Functional Ambulation Category,FAC);3、日常生活行为Barthel指数量表(Activity of Daily Life,ADL)。2组患者入组后开始为期2个月的康复治疗。结果两组患者的Fugl-Meyer、FAC、Barthel指数评分治疗前差异无统计学意义(P>0.05),治疗后1、2个月组内差异均有统计学意义(P<0.05)。结论减重步行训练结合常规康复治疗能更好地提高脑卒中后偏瘫患者的运动能力。

The effects of partial body weight support treadmill training in stroke with hemiplegia: a randomized trial

Objective To investigate the effects of partial body weight support treadmill training in hemiplegia in stroke.Methods 98 strokes were randomly assigned into 2 groups to receive partial body weight support treadmill training and normal rehabilitation therapy(48 cases), or only normal rehabilitation therapy(50 cases).Clinical assessments included Fugl-Meyer scale,Functional Ambulation Category(FAC),and Activity of Daily Life(Barthel index) was performed before treatment and at 1, 2 months after treatment.Results When comparing with the results before treatment, the improvement of motor function(Fugl-Meyer),walking (FAC)and activity of daily life(Barthel index) was statistically significant after 1,2 months of treatment(P <0.05). Conclusion Partial body weight support treadmill training in combination with normal rehabilitation therapy was more effective than normal rehabilitation therapy only in terms of improving functional performance in motor function, walking and activity of daily life on the patients of stroke with hemiplegia.