早期减重训练对脑卒中偏瘫患者下肢功能的影响

Effect of partial body-weight support and treadmill training on lower extremities functional of subacute stroke patients

目的观察减重训练(PBWS)对脑卒中偏瘫患者下肢功能的影响以及在不同时期进行减重训练的疗效,探讨对脑卒中偏瘫患者进行减重训练的最佳时间。方法40例脑卒中患者随机分为A、B、C3组,早期均运用常规康复治疗方法,其中A组(14例)整个康复过程均运用常规康复治疗;B组(13例)在常规康复治疗2周后加减重训练;C组(13例)在常规康复治疗5周后加减重训练;3组治疗时间均为8周。在治疗前后分别用FuglMeyer评定表、Barthel指数和Berg平衡量表进行评定分析。结果治疗前3组患者各评测指标无显著性差异(P>0.05),治疗后3组患者下肢功能均有不同程度的改善(P<0.05～0.001),但治疗后B组与A、C组比较大部分评测指标有显著性差异(P<0.05～0.01);C组与A组比较也有显著性差异(P<0.05)。结论早期介入减重训练可进一步改善偏瘫患者下肢功能的恢复。

Objective To study the effect of partial body-weight support and treadmill training in subacute stroke patients. Methods 40 stroke patients were randomly arranged into 3 groups： group A （n= 14） accepted 8 weeks of routine physical therapy, group B （n= 13） accepted additional 6 weeks partial body-weight support and treadmill training at the 3rd week, group C （n=13） accepted additional 3 weeks partial body-weight support and treadmill training at the 6th week. The patients were evaluated with Fugl-Meyer Assessment of Physical Performance（FMA）, Barthel Idex（BI） and the Berg Balance Scale（BBS）. Results The functional outcome of the initial evaluation with FMA, BI and BBS were no-significantly different, 8 weeks later, that of group B were better than that of group A and group C （P〈0.05-0.01）, and that of group C were better than that of group A （P〈0.05）. Conclusion Early treatment of partial body-weight support and treadmill training can help to improve the lower extremities function.