强化坐-站训练对脑卒中偏瘫患者平衡及步行能力的影响

The effects of intensive sit-to-stand training on the balance and walking ability of hemiplegic stroke survivors

目的观察强化坐一站训练对脑卒中偏瘫患者平衡及步行能力的影响。方法60例脑卒中患者采用抽签法随机分为观察组和对照组，每组30例。对照组给予常规康复训练，观察组在此基础上增加坐-站训练，每次15rain，每周治疗6次，连续治疗4周。于治疗前及治疗4周后（治疗后）采用体重分布测试、Berg平衡量表（BBS）、起立一行走计时测试（TUGT）及步态分析对2组患者进行评定。结果治疗后，2组患者体重分布、BBS和TUGT评分以及步态分析均较治疗前明显改善（P〈0．05），观察组与对照组比较，仅体重分布差异无统计学意义（P〉0．05），其余各项指标改善幅度均优于对照组，且差异有统计学意义（P〈0．05）。结论强化坐一站训练可有效提高脑卒中偏瘫患者的康复训练效果，改善患者平衡及步行能力。

Objective To investigate the effectiveness of intensive sit-to-stand training in improving the balance and walking of hemiplegic stroke patients. Methods Sixty hemiplegic stroke patients were randomly divided into an observation group and a control group with 30 cases in each. Both groups were treated with routine rehabilitation. The observation group also underwent extensive sit-to-stand training. The training lasted for 15 min/time, 6 times/week for 4 weeks. All of the patients were assessed with respect to their body weight distribution, Berg balance scale （BBS） scores, timed ＂up ＆ go＂ test （TUGT） times and using footprint gait analysis, before the treatment and 4 weeks post treatment. Results After 4 weeks of treatment body weight distribution, BBS scores, TUGT times and gait improved significantly in both groups. The BBS, TUGT and gait improvements were significantly greater in the observation than in the control group. There was no significant difference between the two groups in terms of body weight distribution. Conclusions Extensive sit-to-stand training combined with routine rehabilitation can distinctly improve the balance and walking of hemiplcgic stroke survivors.