综合康复治疗对重度脑损伤患者步行与平衡功能的影响

Effects of Comprehensive Rehabilitation Treatment on Ambulation and Balance Function in Patients with Heavy Brain Injury

目的观察综合康复训练对康复治疗开始时间延迟的重度脑损伤患者步行与平衡功能的影响。方法对12例重度脑损伤患者进行综合康复治疗,包括步行与平衡训练。采用简式Fugl-Meyer下肢运动功能量表、功能独立性评测(FIM)步行能力评定、Berg平衡量表、改良Barthel指数(MBI)进行评定,采用单因素方差分析对患者入院时或清醒后、治疗6个月和12个月时的评定结果进行统计学分析。结果12例患者在治疗3个月及6个月后,上述评定项目评分均较首次评定时提高(P<0.05)。结论重度脑损伤患者虽然开始康复治疗的时间延迟,但经综合康复训练后,步行与平衡能力仍能获得较满意的恢复。

Objective To observe the effects of comprehensive rehabilitation treatment on ambulation and balance function in patients with heavy brain injury when the starting time of rehabilitation was delayed.Methods Twelve heavy brain-injured patients received comprehensive rehabilitation treatment,including ambulation and balance training.They were evaluated with Fugl-Meyer Lower Extremity Assessment Scale,Functional Independence Measure（FIM）Ambulation Function Scale,Berg Balance Scale and Modified Barthel Index（MBI）.One-way ANOVA was used to assess the functional status of patients during the course of treatment.Results After 3～6 months of treatment,All the scores of the assessment items above scales in all of the patients increased significantly compared with those at first evaluation（P〈0.05）.Conclusion The heavy brain-injured patients can still acquire contented ambulation and balance function after accepting comprehensive rehabilitation,though the starting time of rehabilitation is delayed.