摘要
目的观察社区康复中步行训练对脑卒中后典型偏瘫步态的疗效。方法符合入选标准的50例脑卒中患者分为两组:治疗组25例,在社区医院接受系统的步行训练,每周5次,连续干预3个月;对照组25例,在家中自行步行训练,每周随访1次。分别在入组时和治疗1个月、3个月后进行"起立-行走"计时测试、Fugl-Meyer下肢运动功能评测及生活满意度评分(SWLS)。结果两组在治疗1个月后,"起立-行走"计时测试、Fugl-Meyer下肢运动功能评测、生活满意度评分无显著差异。治疗3个月后治疗组较治疗前有明显好转,并优于对照组(P<0.05)。结论在社区中开展步行训练能改善脑卒中后典型偏瘫步态,提高患者的步行质量。
Objective To observe the effect of the ambulation training on the typical hemiplegic gait in community.Methods 50 stroke patients with typical hemiplegic gait were divided into two groups: treatment group was treated with systematic rehabilitation training,5 times each week for 3 months,and control group accepted self-walking training.The follow-up was performed every week at home.The two groups were assessed by the timed "up go" test,the Fugl-Meyer Assessment(FMA) and Satisfaction with Life Scale(SWLS).Results The scores of the timed "up go" test,FMA,and SWLS showed that there weren't significant difference between the treatment group and the control group 1 month after treatment;but the scores in the treatment group were obviously higher than those in the control group 3 months after treatment.Conclusion Ambulation training could improve the typical hemiplegic gait and quality of walking of stroke patients with hemiplegic gait in community.
出处
《中国康复理论与实践》
CSCD
2011年第2期181-183,共3页
Chinese Journal of Rehabilitation Theory and Practice
关键词
偏瘫步态
步行训练
脑卒中
社区康复
hemiplegic gait
ambulation training
stroke
community-based rehabilitation