足下垂助行仪联合减重步行训练改善脑卒中偏瘫患者下肢功能的临床研究

Effect of drop foot stimulator and body weight supported treadmill training on lower limbs recovery of hemiplegic patients

目的:观察足下垂助行仪联合减重步行训练对脑卒中后偏瘫患者下肢功能的影响。方法:将36例脑卒中偏瘫患者随机分为对照组和研究组各18例。2组均接受常规下肢功能康复训练,研究组另外增加足下垂助行仪联合减重跑台训练,每周6d。治疗前后分别采用Fugl-Meyer下肢运动功能量表(FMA-L)评定下肢运动功能、Berg平衡量表(BBS)评定平衡功能,足印法测量步速、左、右足步幅差。结果:治疗8周后,2组患者的FMA及BBS评分均较治疗前明显提高(P<0.05),且研究组各项评分更高于对照组(P<0.05)。治疗后,2组患者的步速均较治疗前明显提高,左、右足步幅差明显减小(P<0.05),研究组较对照组改善更为明显(P<0.05)。结论:足下垂助行仪联合减重步行训练可明显改善早期脑卒中偏瘫患者的下肢功能,改善日常生活活动能力。

Objective：To explore the effect of drop foot stimulator and body weight supported treadmill training on walking function of hemiplegic patients.Methods：All 36 hemiplegic patients were randomly divided into control group （n=18） and research group （n=18）.Both groups accepted routine rehabilitation,while the research group accepted drop foot stimulator and body weight supported treadmill training in addition 6 days per week.Fugl-Meyer Assessment （FMA-L）,Berg balance scale （BBS）,and walking speed method were used before and after the treatment.Results：After treatment for 8 weeks,scores of FMA and BBS in two groups were increased significantly,more significantly in the research group than in the control group （all P＜0.05）.Walking speed in two groups was significantly increased,and stride length difference between two foot was significantly decreased,more significantly in the research group than in the control group （all P＜0.05）.Conclusion：Drop foot stimulator and body weight supported treadmill training can accelerate the recovery of lower limbs of hemiplegic patients and improve their ability to participate in daily activities.