悬吊运动训练对不完全截瘫患者平衡及步行能力的影响

The effect of sling exercise therapy on the balance and walking ability of persons with incomplete paraplegia

目的探讨悬吊运动训练对不完全截瘫患者平衡及步行能力的影响。方法采用随机数字表法将37例患者分为观察组19例、对照组18例，2组均采用常规康复训练，如垫上桥式训练、跪位训练、坐站训练、佩戴支具步行训练等，观察组在此基础上辅以多点多轴悬吊运动训练，选择仰卧位、俯卧位腰椎中立位放置、仰卧位骨盆上抬和侧卧位拱桥等方式训练。分别于治疗前、治疗6周后采用躯干控制能力测试（TCT）、Berg平衡量表（BBS）、Holden步行功能分级对2组患者的平衡功能及步行能力进行评定。结果治疗前，2组患者TCT、BBS评分比较，差异无统计学意义（P〉0．05）。与组内治疗前比较，2组患者治疗后TCT、BBS评分均有所改善（P〈0．05），且观察组治疗后TCT[（85．6±7．2）分]、BBS[（78．1±8．3）分]评分优于对照组（P〈0．05）。治疗后，观察组Holden步行功能分级显著优于对照组，差异有统计学意义（P〈0．05）。结论在常规康复训练基础上，悬吊运动训练可以改善不完全截瘫患者的平衡及步行能力，值得临床应用、推广。

Objective To explore the effect of sling exercise therapy （SET） for improving the balance and walking ability of patients with incomplete paraplegia. Methods The 37 patients were randomly divided into two groups： 19 patients in the observation group and 18 cases in the control group. Both groups were given conventional rehabilitation training, including bridge training on the mat, kneeling position training, sit-stand training and orthosis walking training. The observation group was additionally provided with sling exercise therapy with multi-point, multiaxis sling suspension supine, prone with a neutral lumbar spine, supine with pelvic elevation and in a lateral position like an arch. Before the treatment and 6 weeks after the treatment, trunk control tests （TCTs） were administered. The Berg balance scale （BBS） and Holden＇s walking function classification were used to assess the subjects＇ balance and walking ability. Results There were no significant differences in the two groups＇ average TCT and BBS scores be- fore the treatment. After 6 weeks of treatment the average scores of both groups had increased significantly, with a sig- nificantly bigger increase observed in the observation group. After the treatment, the average Holden classification of the observation group was significantly superior to that of the control group. Conclusion SET in addition to conventional rehabilitation training can significantly improve the balance and walking ability of patients with incomplete paraplegia. It is worthy of application in clinical practice.