绳带疗法对脑卒中后偏瘫患者异常步态和下肢功能改善作用

Effect on the improvement of rope therapy on abnormal gait and lower limb function in the patients with post-stroke hemiplegia

目的探讨绳带疗法对脑卒中后偏瘫患者异常步态和下肢功能的改善作用。方法选择2018年4月~2019年4月期间我院康复科进行康复治疗的脑卒中后偏瘫患者90例,采用抛银币法分为康复组与对照组,各45例。两组患者均酌情予控制颅内压、血压、血糖和血脂,营养神经细胞及预防并发症等常规治疗。对照组患者予以常规康复训练方法,康复组患者在对照组基础上加用绳带疗法。两组均干预8周。评估两组患者干预前后步态参数(步长、步宽和步速)、下肢运动功能及日常生活能力的变化。结果干预8周后,两组患者平均步长、步宽和步速较前明显升高(P<0.05或P<0.01),且康复组升高幅度较对照组更明显(P<0.05);两组患者FMA-L评分和改良MBI评分较前明显升高(P<0.05或P<0.01),且康复组升高幅度较对照组更明显(P<0.05)。结论绳带疗法用于脑卒中后偏瘫患者不仅可有效改善患者异常步态,而且可明显改善患者下肢功能,提高其日常生活能力。

Objective To explore the improvement effect of rope therapy on abnormal gait and lower limb function in patients with post-stroke hemiplegia.Methods 90 patients with post-stroke hemiplegia who were undergoing rehabilitation treatment in the rehabilitation department of our hospital from April 2018 to April 2019 were selected.The patients were divided into the rehabilitation group and the control group by the coin flipping method,with 45 patients in each group.Patients in both groups were given routine treatments such as control of intracranial pressure,blood pressure,blood glucose and blood lipids,nutritional nerve cells and prevention of complications.Patients in the control group were given conventional rehabilitation training methods.Patients in the rehabilitation group were given rope therapy on the basis of the control group.Both groups were intervened for 8 weeks.Changes in gait parameters(step length,step width,and pace),lower limb motor function,and daily living ability were evaluated before and after intervention in both groups of patients.Results After 8 weeks of intervention,the average step length,step width,and pace in both groups were significantly higher than before(P<0.05 or P<0.01),and the improvement in the rehabilitation group was more significant than that in the control group(P<0.05);the FMA-L score and modified MBI score in both groups were significantly higher than before(P<0.05 or P<0.01),and the increase in the rehabilitation group was more significant than that in the control group(P<0.05).Conclusion Rope therapy for patients with post-stroke hemiplegia can not only effectively improve the abnormal gait of patients,but also significantly improve the lower limb function and enhance patients'ability of daily living.