减重步行训练对脑梗死后偏瘫患者步行功能的影响

目的：探讨减重步行训练对脑梗死后偏瘫患者下肢运动功能、步行功能和日常生活能力的影响.方法：选择2003年10月～2005年1月在本院神经内科住院的98例初发脑梗死患者,随机分为常规康复治疗组（47例）和减重步行训练组（51例）.常规康复治疗组仅接受常规步态康复训练,减重步行训练组除接受常规康复训练外,尽早开始接受减重步行训练.两组患者康复治疗前后分别采用FAC量表、Fugl-Meyer量表及Barthel指数评分评定患者步行能力,下肢运动功能及日常生活能力,比较两组治疗效果.结果：两组患者经不同康复治疗后,上述各项指标均有改善,但减重步行训练组FAC、FMA积分及Barthel指数评分的改善情况明显优于常规康复治疗组（FAC、FMA积分比较P＜0.01,Barthel指数评分比较P＜0.05）.结论：减重步行训练较常规康复治疗能更大程度地提高脑梗死后偏瘫患者步行能力,下肢运动功能及日常生活能力,从而提高患者的生活质量.

Effect of Body Weight Support Treadmill Training on Hemiplegia Patients after Cerebral Infarction

Objective:To explore the effects of body weight support treadmill training(BWSTT) on motor function,walking ability and activities of daily living(ADL) in hemiplegic patients caused by cerebral infarction.Methods:Totally 98 patients were randomly divided into two groups:BWSTT group and control group.In addition to conventional treatment,BWSTT group received BWSTT daily,while the control group was only given conventional treatment.The Functional Ambulation Category(FAC),Fugl-Meyer assessment(FMA)and the Barthel index of ADL were used to assess the treatment effects.Results:The patients in BWSTT group scored significantly in FAC,FMA(P<0.01) and the Barthel index(P<0.05) than those in the control group.Conclusion: Hemiplegic patients treated by BWSTT improved better with regards to their motor function,walking ability and ADL than those patients treated only with conventional treatment.BWSTT is effective for the hemiplegic patients to improve their quality of life.