强制性运动疗法对脑卒中患者步行能力及平衡功能的影响

The effects of constraint-induced movement therapy on the walking ability and balance function in stroke patients

目的:探讨强制性运动疗法(CIMT)对脑卒中患者步行能力及平衡功能的影响。方法:选择2007年2月—2008年6月在承德医学院附属医院康复医学科住院的脑卒中偏瘫患者60例,随机分为试验组和对照组,每组30例。试验组采用改良CIMT对下肢功能进行强化训练,对照组给予常规康复治疗,连续治疗8周。采用Berg平衡量表测定治疗前后两组患者的平衡功能;用"起立-行走"计时测定(TUGT)及最大步行速度(MWS)分别测定起立行走和10m最大步行速度来评价患者的步行能力。结果:经"CIMT"治疗后,试验组Berg平衡量表的评分显著高于对照组(P<0.05);TUGT的时间显著小于对照组(P<0.05);MWS则显著高于对照组(P<0.05)。结论:CIMT能够显著改善脑卒中患者的步行能力及平衡功能,是有效的康复治疗方法。

Objective：To investigate the influence of constraint-induced movement therapy （CIMT） on the walking ability and balance function of stroke patients. Method： Sixty stroke patients with hemiparesis were selected between February 2007 and June 2008. All of the patients were randomly assigned to one of the two groups： CIMT group and control group. The CIMT group received revised CIMT, while the control group received traditional rehabilitation treatments for 8 weeks. Berg Balance Scale was used to evaluate the balance function of patients before and after the treatment. Timed up and go＇Test （TUGT） and maximum walking speed （MWS） were used to test the walking ability of the patients. Result： The CIMT group had significantly higher scores on Berg balance scale （P〈0.05）, took less time in TUGT （P〈0.05）, and performed higher MWS （P〈O.05）. Conclusion： CIMT is an effective treatment for improving the walking ability and balance function of stroke patients.