踏车运动对恢复期脑卒中偏瘫患者跌倒的临床研究

Effects of Treadmill Training on Falling of Convalescent Stroke Patients

目的探讨踏车运动对恢复期脑卒中偏瘫患者跌倒的影响。方法将具有一定行走能力的112例恢复期脑卒中患者随机分为观察组(58例)和对照组(54例),对照组患者采用常规康复训练方法,观察组患者在常规康复训练的基础上,增加踏车运动,8周后统计两组患者跌倒的发生率,采用Berg平衡量表(Berg balance scale,BBS)、Motricity指数及Fugl-Meyer运动功能评定(Fugl-Meyer assessment,FMA)对疗效进行评价。结果治疗前观察组和对照组患者平衡功能、下肢肌力、下肢运动功能及跌倒率无统计学差异(P>0.05),经过8周康复训练后,两组患者的平衡功能、下肢肌力、下肢运动功能均明显提高,与治疗前比较差异均有统计学意义(P<0.05),但观察组提高的程度优于对照组,两组间差异有统计学意义(P<0.05),观察组跌倒率明显低于对照组,差异亦有统计学意义(P<0.05)。结论踏车运动能明显提高脑卒中偏瘫患者平衡功能,对降低恢复期脑卒中患者跌倒率有积极作用。

Objective To study the effects of treadmill training on falling of patients with convalescent stroke. Method Totally 102 patients with convalescent stroke, who had a certain power in walk, were randomly divided into two groups of trial group （n =58） and control group （n =54）. The patients in the control group were trained by routine rehabilitation training program, and those in the trial group, besides the above training, were subjected to the treadmill training. After 8 weeks the effects were evaluated with Berg balance scale （ BBS）, Motricity Index and Fugl - Meyer assessment .（FMA）. Results There was no significant difference between the two groups in equilibrium function, myodynamia and exercise function of the lower limbs （ P 〉 0. 05）. After training, the equilibrium function, myodynamia and exercise function of the lower limbs of the patients in beth groups were all raised obviously, with a significant difference compared with those before treatment （ P 〈 0. 05）. However the effects of the trial group were better than those of the control group （ P 〈 0. 05 ）, and the falling rate in the trial group was significantly lower than that in the control group, with a significant difference （ P 〈 0. 05 ）. Conclusion Treadmill training can increase the equilibrium function of stroke patients, it has a positive role to reduce falling rate in convalescent stroke patients.