强化蹬踏训练对偏瘫患者下肢功能恢复的影响

Effect of Intensive Pedaling Training on Lower Limbs Recovery from Hemiplegia

目的探索强化蹬踏训练对偏瘫患者下肢功能恢复的影响。方法 60例脑卒中后偏瘫患者分为对照组(n=30)和治疗组(n=30),均接受常规运动治疗、作业治疗、针灸治疗和电刺激治疗,治疗组在此基础上增加强化蹬踏训练。于治疗前及治疗8周后分别采用Berg平衡量表(BBS)、Fugl-Meyer下肢运动功能评分量表(FMA-L)、改良Barthel指数(MBI)、功能性步行分级(FAC)、改良Ashworth量表(MAS)进行评定。结果治疗后,两组患者的BBS、FMA-L、MBI、FAC、MAS评分较治疗前均明显改善(P<0.01),治疗组改善情况均优于对照组(P<0.05)。结论强化蹬踏训练可明显改善偏瘫患者下肢功能。

Objective To explore the effect of intensive pedaling training on lower limbs recovery from hemiplegia.Methods 60 hemiplegics after stroke were divided into treatment group（n=30） and control group（n=30）.Both groups accepted routine rehabilitation,including physiotherapy,occupational therapy,acupuncture and electrical stimulation,while the treatment group accepted intensive pedaling training in addition.They were evaluated with Berg Balance Scale（BBS）,Fugl-Meyer Assessment of lower limb（FMA-L）,modified Barthel index（MBI）,Functional Ambulation Category（FAC）,modified Ashworth scale（MAS） before and after 8 weeks of treatment.Results The scores of BBS,FMA-L,MBI,FAC,and MAS improved in both groups after treatment（P〈0.01）,and improved more in the treatment group than in the control group（P〈0.05）.Conclusion Intensive pedaling training can further improve the lower limbs function of stroke patients with hemiplegia.