节律性听觉刺激在脑卒中后步行障碍中的应用

Effects of gait training with rhythmic auditory stimulation on gait ability in elderly stroke patients

步行障碍是脑卒中后偏瘫患者最常见的后遗症，一半以上的脑卒中患者出院后仍不能独立行走。患者出院后仍遗留有步态不对称以及步速减慢等问题，使得患者的跌倒风险增高，患者因顾虑安全而更加不敢独立行走以至不能完成社区步行。因此，步态康复被认为是脑卒中后康复的主要目标。节律性听觉刺激（rhythmic auditory stimulation, RAS）是改善卒中步态的一种新的康复治疗方法。本文旨在通过阐述节律性听觉刺激的作用机制及对卒中步态的影响，寻求对偏瘫患者有效的节律性听觉刺激治疗方法，使节律性听觉刺激不仅用于步态训练，也用于慢性脑卒中患者在任何环境中的步态实时评定。

Walking disorder is the most common sequela in patients with hemiplegia after stroke. More than half of stroke patients can not walk independently after discharge,and still present a gait asymmetry and slow pace, and other abnormalities. Then, the fall risk is increased. With security concerns, patients are more afraid to walk independently and can not complete the walk in community environment. Therefore, gait rehabilitation is considered as the main goal of stroke rehabilitation. Rhythmic auditory stimulation（RAS）is a new rehabilitation method to improve stroke gait. By elucidating the mechanism of RAS and their effects on stroke gait, the aim of this paper is to explore the effective RAS treatment method for hemiplegic patients, so that RAS is not only used in gait training,hut also in real-time assessment of gait in any environment for chronic stroke patients.