超声波治疗结合天轨移位系统训练对脑卒中患者纠正异常步态的疗效分析

Analysis of Therapeutic Effect of Ultrasonic Therapy Combined with Orbital Transfer System Training on Correction of Abnormal Gait in Stroke Patients

目的探讨超声波治疗结合天轨移位系统训练对脑卒中患者纠正异常步态的疗效。方法选取2020年7月—2023年8月佛山市第一人民医院同济康复医院收治的60例脑卒中患者作为研究对象,应用随机数表法分为研究组与对照组,每组30例。对照组给予常规康复治疗,研究组给予超声波治疗结合天轨移位系统训练。比较两组临床疗效。结果干预前,两组Berg平衡量表(Berg Balance Scale,BBS)评分和改良Ashworth分级(Modified Ashworth Scale,MAS)评分对比,差异无统计学意义(P>0.05);干预后,研究组的BBS评分(36.64±3.38)分高于对照组,研究组的股四头肌MAS评分(1.03±0.17)分、小腿三头肌MAS评分(1.52±0.22)分均低于对照组,差异有统计学意义(t=9.833,30.025,22.852,P<0.05)。干预后,研究组的步频、步幅、步速、患侧支持相、患侧摆动相均高于对照组,研究组的步态周期低于对照组,差异有统计学意义(P<0.05)。研究组的洗澡、进食、用厕、平地行走、上下楼梯评分均高于对照组,差异有统计学意义(P<0.05)。结论在脑卒中患者的治疗中,采用超声波联合天轨移位系统训练进行干预,其干预效果显著,值得推广。

Objective To investigate the effect of ultrasonic therapy combined with orbital transfer system training on correction of abnormal gait in stroke patients.Methods A total of 60 stroke patients admitted to Tongji Rehabilitation Hospital of Foshan First People's Hospital from July 2020 to August 2023 were selected as the study objects and divided into study group and control group by random number table method,with 30 cases in each group.The control group was given conventional rehabilitation treatment,and the study group was given ultrasonic therapy combined with orbital transfer system training.The clinical efficacy of the two groups was compared.Results In terms of berg balance scale(BBS)score and modified Ashworth scale(MAS)score,there was no statistically significant difference between the two groups before intervention(P>0.05);after the intervention,the BBS score of the study group(36.64±3.38)points was higher than that of the control group.The MAS scores of the quadriceps femoris(1.03±0.17)points and triceps crus(1.52±0.22)points in the study group were lower than those in the control group,and the differences were statistically significant(t=9.833,30.025,22.852,P<0.05).After the intervention,the stride frequency,stride length,stride speed,affected side support phase and affected side swing phase of the study group were higher than those of the control group,and the gait cycle of the study group was lower than that of the control group,and the differences were statistically significant(P<0.05).The scores of bathing,eating,using toilet,walking on flat ground and going up and down stairs in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusion In the treatment of stroke patients,the use of ultrasonic combined with orbital transfer system training to intervene,the intervention effect is significant,worthy of promotion.