主动控制踩车训练对脑卒中患者下肢运动功能及注意力的影响

Effect of lower limb initiative control on lower limb motor function and attention in stroke patients with hemiplegia

目的：探讨早期的偏瘫患者在踩车训练时，主动控制下肢与被动捆绑下肢2种方式对患者下肢运动功能和注意力的影响。方法：30例患者随机分为2组，为试验组和对照组。在常规的康复训练基础上给予踩车训练，对照组使用绳带在膝上将双腿捆绑，防止出现髋外展外旋，试验组不采用捆绑固定，而由家属在旁给与提示患者自主控制髋部。每次训练20分钟，每天2次，疗程为3周。分别在治疗前后对患者的髋部内旋 AROM，下肢的运动功能情况（ Fugl－Meyer运动功能评分下肢部分）以及注意力进行评价。结果：试验组在注意力和下肢运动功能的改善上优于对照组（P＜0．05）。结论：偏瘫病人在使用踩车时主动控制髋部能够提高下肢运动功能，提高注意力。

Objective：To investigate the effect of the active control of the lower limb and the passive bundle on the lower limb move -ment function and attention of the patients in the early stage of the patients in the early stage of the training .Methods：30 patients were randomly divided into two groups , the experimental group and the control group .On the basis of conventional rehabilitation training given on the cycling training , while the control group used the rope in the legs knee would be bundled and prevent the emergence of external ro -tation and abduction of the hip , experimental group did not use fixed bundling , and by the family beside giving hints the autonomic control of patients with hip.20 minutes each time, 2 times a day, 3 weeks.In the treatment of patients before and after the treatment of patients with hip internal rotation AROM , the lower extremity motor function （ Fugl-Meyer motor function score of the lower part of the lower limbs） and attention were evaluated.Results：the experimental group was superior to the control group （P 〈0.05） in the improvement of the function of the movement of the lower limbs .Conclusion：the active control of the hip could improve the lower limb motor function and improve the attention of the patients with hemiplegia .