社区康复对脑卒中后典型偏瘫步态的疗效观察

Effect of Community-based Rehabilitation on Typical Hemiplegic Gait Post Stroke

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.