悬吊运动训练对脑卒中后步行功能障碍患者步行功能恢复的影响

The Effect of Sling Exercise Therapy on the Recovery of Walking Function of Stroke Patients with Walking Dysfunction

目的:研究悬吊运动训练对脑卒中后步行功能障碍患者的治疗效果。方法:将70例脑卒中后步行功能障碍患者随机分为观察组和治疗组,每组35例。观察组患者采用常规康复治疗,治疗组患者采用常规康复治疗加用悬吊运动训练。比较两组治疗前后日常生活活动能力、下肢运动功能、平衡功能、步行能力及治疗效果。结果:治疗后两组ADL评分比较差异无统计学意义(P>0.05)。治疗后治疗组患者FMA评分、Holden评分、步长和10 m MWS均显著优于观察组,差异有统计学意义(P<0.01)。治疗组患者治疗总有效率显著高于观察组,差异有统计学意义(P<0.05)。结论:悬吊训练可有效提高脑卒中后步行功能障碍患者下肢运动功能、平衡功能和步行功能,改善步行功能障碍。

Objective:To study the effect of sling exercise therapy on the recovery of walking function of stroke patients with walking dysfunction.Method:A total of 70 patients with walking dysfunction after stroke were randomly divided into the observation group and the treatment group,with 35 patients in each group.Patients in the observation group were given conventional rehabilitation therapy,and patients in the treatment group were given conventional rehabilitation therapy added with sling exercise therapy.The daily life activity ability,lower limb motor function,balance function,walking ability and therapeutic effect of the two groups before and after treatment were compared.Result:There was no significant difference in ADL score between the two groups after treatment(P>0.05).After treatment,FMA score,Holden score,step size and 10 m MWS in the treatment group were significantly better than those in the observation group,the differences were statistically significant(P<0.01).The total effective rate of the treatment group was significantly higher than that of the observation group,the difference was statistically significant(P<0.05).Conclusion:Sling exercise therapy can effectively improve lower limb motor function,balance function and walking function of patients with walking dysfunction after stroke,and improve the walking dysfunction.