脑卒中后患者步行能力训练的临床研究

Walking ability in patients after stroke clinical research training

目的探讨脑卒中后患者步行能力训练的临床研究。方法 2008年1月至2010年10月诊治的脑卒患者212例,为常规康复组102例,综合康复组110例,观察两组临床疗效。结果两组病例经统计学分析比较,两组治疗前FMA、ADL、FAC比较差异无统计学意义(P>0.05);两组治疗后比较差异有统计学意义(P<0.01)。结论发病后康复治疗、训练越早,患者肢体出现随意运动的时间越早,身体机能恢复的预后越好。早期若不进行合理的康复训练,就有可能出现严重的继发性功能障碍,甚至发生废用、误用综合征,阻碍神经功能的恢复,失去最佳的康复时机。应用神经发育疗法及运动再学习方案联合常规康复训练,能够明显的改善步行功能,促进疾病康复,降低病残率,是值得临床重视和广泛应用的康复方法。

Objective To investigate the ability of stroke patients after walking training in clinical research Methods In January 2008 to October 2010 brain death diagnosis and treatment of patients with 212 cases, 102 cases of conventional rehabilitation group, comprehensive rehabilitation group, 110 cases were observed in clinical efficacy. Results The two groups were compared by statistical analysis, two groups before treatment FMA, ADL, FAC had, no significant difference （ P 〉 0.05 ） , two groups after treatment had significant difference （P 〈 0. 01 ）. Conclusion After the onset of rehabilitation, training, the sooner, the patient voluntary movement of limbs occurs sooner, the better the prognosis of recovery of physical function. Early if a reasonable rehabilitation, there may be secondary to severe sexual dysfunction, or even waste, misuse syndrome, hindering recovery of neurological function, loss of the best recovery time. Application of neurodevelopmental therapy and motor relearning program combined conventional rehabilitation training can significantly improve walking function and promote recovery from disease, reduce morbidity, is worthy of attention and widespread application of rehabilitation methods.