反重力跑台系统在老年脑卒中患者平衡及步行训练中的疗效

Effect of anti-gravity treadmill training system on balance and walking ability of elderly stroke patients

目的:观察反重力跑台训练系统在老年脑卒中患者平衡及步行训练中的应用效果。方法:选取我院60例老年卒中住院患者,随机分为研究组和对照组各30例。2组均予常规康复训练及步行训练,研究组加用反重力跑台步行训练,连续治疗12周,并在治疗前后采用Berg平衡量表、Tinetti步态评估量表、10m最大步行速度测试评估患者平衡及步行能力。结果:治疗12周后,2组BBS及TGA评分均较治疗前明显提高(P<0.05),且研究组更高于对照组(P<0.05);治疗后,2组最大步行速度在治疗后各时间点均较治疗前明显提升(P<0.05),且研究组在治疗4周、8周及12周时,步行速度提升均显著高于对照组(P<0.05)。结论:反重力跑台训练系统能够有效帮助改善老年脑卒中患者的平衡能力及步行能力,值得推广使用。

Objective:To study the anti-gravity treadmill training system to improve the balance and walking ability of elderly stroke patients.Methods:A total of 60 patients after stroke were randomly divided into experimental group and the control group(n=30 each).Both groups accepted routine rehabilitation and walking training,and the experimental group was given anti-gravity treadmill walking training for 12 weeks additionally.Before,and after 4 weeks,8 weeks and 12 weeks of treatment,the patients were assessed with Berg balance scale,Tinetti gait assessment scale and the maximum walking speed of 10 meter to evaluate the balance and walking ability of the patients.Results:After treatment,the scores of BBS and TGA in the two groups were increased as compared with those before treatment,and the improvement in the experimental group was more significant than in the control group(P<0.05).After treatment for 4 weeks,8 weeks and 12 weeks,the maximum walking speed in the experimental group was significantly increased as compared with that in the control group(P<0.05).Conclusions:Anti-gravity treadmill training system can effectively help to improve the balance ability and walking ability of elderly stroke patients,and it is worth promoting its use.