减重步行训练对脑卒中偏瘫患者下肢功能的影响

Effect of Body-weight Supported Treadmill Training on Hemiplegic Patients after Stroke

目的观察减重步行训练(BWSTT)对脑卒中偏瘫患者下肢功能的影响。方法脑卒中偏瘫患者46例,分成治疗组23例及对照组23例,两组患者均给予常规康复训练,治疗组在此基础上增加BWSTT训练。分别于治疗前后进行功能性步行量表(FAC)、Fugl-Meyer运动功能评定(FMA)、Berg平衡量表(BBS)评定。结果治疗前两组患者FAC、FMA、BBS评分均无显著性差异(P>0.05)。治疗后,两组患者FAC、FMA、BBS评分均比治疗前明显提高(P<0.01)。治疗组患者FAC、FMA、BBS评分的改善明显优于对照组(P<0.01)。结论BWSTT训练能改善脑卒中偏瘫患者步行功能及平衡能力。

Objective To investigate the effects of body-weight support treadmill training （BWSTT） on function of lower limbs. Methods 46 hemiplegic patients after stroke were randomly divided into the therapy group （n=23） and control group （n=23）. The subjects of both groups were administered with standardized rehabilitation program. The therapy group was also given BWSTT in addition. Both groups were evaluated before and after treatment using Functional Ambulation Category （FAC）, Fugl-Meyer Assessment （FMA）, Berg Balance Scale （BBS）. Results Before treatment, there was no significant difference between these 2 groups in terms of scores with FAC, FMA and BBS. After treatment, both groups were significantly improved regard to their scores with FAC, FMA and BBS （P〈0. 01）, with the therapy group scored significantly better than the control group （P〈0.01）. Conclusion - BWSTT can significantly improve walk ability and balance function of the hemiplegic patients after stroke.