弹性绳带训练联合Frenkel体操对伴共济失调的脑卒中患者平衡及步行功能的影响

Effects of elastic roping exercise combined with Frenkel exercise on balance function and walking function of post-stroke patients with ataxia

目的:观察弹性绳带训练联合Frenkel体操对伴有共济失调的脑卒中患者平衡及步行功能的影响。方法:将40例伴共济失调脑卒中患者随机分成绳带组和对照组各20例。2组患者均进行常规的康复训练和站立平衡步行训练。绳带组采用弹性绳带加压下进行站立位平衡和步行训练方案。治疗前后对2组患者进行Berg平衡量表(BBS)、10m步行测试(10MWT)、3米起立-走测试(TUGT)及共济失调等级评定量表(SARA)的评估。结果:治疗6周后,2组BBS和10MWT评分均较治疗前显著提高(P<0.01),TUGT和SARA评分均较治疗前显著降低(P<0.05);绳带组的BBS评分和10MWT评分明显高于对照组(P<0.01),TUGT和SARA评分明显低于对照组(P<0.05)。结论:弹性绳带训练联合Frenkel体操能显著提高伴共济失调的脑卒中患者的平衡及步行功能。

Objective:To observe the effects of elastic roping exercise combined with Frenkel exercise on balance function and walking function of post-stroke patients with ataxia.Methods:A total of 40 post-stroke patients with ataxia were randomly divided into treatment group and control group,with 20 cases in each group.Both groups received routine rehabilitation training(30 min/d)and balance and walking training(30 min/d).Additionally,the treatment group received the standing balance and walking training with elastic roping.They were assessed with Berg Balance Scale(BBS),Timed Up and Go Test(TUGT),10-m Walking Test(10MWT)and Scale for Assessment and Rating of Ataxia(SARA)before and after treatment.Results:After 6 weeks of treatment,BBS and 10MWT scores in the two groups were significantly increased(P<0.05),and TUGT and SARA scores were significantly reduced(P<0.05)as compared with those before treatment.The scores of TUGT and SARA were significantly lower,and the BBS and 10MWT scores were higher in the elastic roping group than in the control group(P<0.05).Conclusion:Elastic roping exercise combined with Frenkel exercise can improve the balance function and walking function of post-stroke patients with ataxia.