Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. How...Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.展开更多
目的:比较不同频率全身振动训练对脑卒中患者下肢功能的影响。方法:将60例脑卒中患者随机分为10Hz组(n=20)、20Hz组(n=20)和30Hz组(n=20)。3组均接受常规康复训练,10Hz组在常规训练上给予10Hz全身振动训练,20Hz组在常规训练上给予20Hz...目的:比较不同频率全身振动训练对脑卒中患者下肢功能的影响。方法:将60例脑卒中患者随机分为10Hz组(n=20)、20Hz组(n=20)和30Hz组(n=20)。3组均接受常规康复训练,10Hz组在常规训练上给予10Hz全身振动训练,20Hz组在常规训练上给予20Hz全身振动训练,30Hz组在常规训练上给予30Hz全身振动训练。治疗前和治疗4周后,采用Fugl-Meyer下肢运动功能量表(Fugl-Meyer assessment scale-lower extremity,FMA-LE)、Berg平衡量表(Berg balance scale,BBS)、计时起立-行走测试(time up and go test,TUGT)、10m最大步行速度(10m maximum walking speed,MWS)进行评定。结果:治疗4周后,3组患者的FMA-LE、BBS、TUGT和10mMWS均较治疗前显著改善(P<0.05),30Hz组和20Hz组均显著优于10Hz组(P<0.05),30Hz组各项指标改善最显著(P<0.05)。结论:3组不同频率全身振动训练均可改善脑卒中患者的下肢功能、平衡和步行能力,但30Hz全身振动训练效果最佳。展开更多
目的:采用Meta分析方法评价机器人辅助步态训练(RAGT)对脑性瘫痪(CP)儿童的下肢运动功能的影响。方法:计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国学术期刊全文数据库(CNKI)、万方数据库(Wanfang Data)、维普中...目的:采用Meta分析方法评价机器人辅助步态训练(RAGT)对脑性瘫痪(CP)儿童的下肢运动功能的影响。方法:计算机检索Cochrane Library、PubMed、Web of Science、Embase、中国学术期刊全文数据库(CNKI)、万方数据库(Wanfang Data)、维普中文期刊全文数据库(VIP)和中国生物医学文献数据库(CBM⁃disc)中关于RAGT治疗CP儿童的临床随机对照试验(RCTs),文献检索时限为从建库至2021年12月。主要结局指标包括CP儿童粗大运动功能评定GMFM-D区评分、GMFM-E区评分、伯格平衡量表(BBS)评分、功能性步行量表(FAC)评分、步速、六分钟步行试验(6MWT)评分、改良Ashworth量表(MAS)评分。由2名研究者独立按照纳入、排除标准筛选文献,完成对纳入文献的资料提取、质量评价和风险评估。根据Cochrane协作网提供的系统评价手册,采用RevMan 5.3软件进行Meta分析,通过P值和I²检验综合判断是否存在异质性,当P≥0.1,I²≤50%时,采用固定效应模型;当P<0.1,I²>50%时,采用随机效应模型。结果:本研究共纳入10项RCTs,纳入390例患者,其中对照组187例,试验组203例。Meta分析结果显示,与对照组比较,试验组GMFM-D区评分更高[SMD=0.58,95%CI(0.29,0.88),P=0.0001],GMFM-E区评分更高[SMD=0.47,95%CI(0.18,0.77),P=0.001],BBS评分更高[MD=5.85,95%CI(4.00,7.70),P<0.00001],FAC评分更高[MD=0.57,95%CI(0.24,0.91),P=0.0008],步速更快[MD=0.06,95%CI(0.02,0.10),P=0.009],6MWT评分更高[MD=80.18,95%CI(23.00,137.36),P=0.006];2组MAS评分比较,差异无统计学意义[MD=-0.10,95%CI(-0.32,0.12),P=0.39]。结论:RAGT可有效改善CP儿童的粗大运动功能、平衡功能和步行功能等下肢运动功能。由于纳入研究的局限性,下一步研究仍需要开展高质量、多中心、大样本的RCTs,为临床提供更可靠的循证依据。展开更多
文摘Background: Water weight-loss walking training is an emerging physical therapy technique, which provides new ideas for improving the motor function of stroke patients and improving the quality of life of patients. However, the rehabilitation effect of water weight-loss training in stroke patients is currently unclear. Objective: To analyze the effect of water weight loss walking training in stroke patients. Methods: A total of 180 stroke patients admitted to our hospital from January 2019 to December 2021 were selected and randomly divided into two groups. The control group received routine walking training, and the research group performed weight loss walking training in water on this basis. The lower limb motor function, muscle tone grade, daily living ability, gait and balance ability were compared between the two groups before and after treatment. Results: Compared with the control group, the FMA-LE score (Fugl-Meyer motor assessment of Lower Extremity), MBI score (Modified Barthel Index) and BBS score (berg balance scale) of the study group were higher after treatment, and the muscle tone was lower (P Conclusion: Water weight loss walking training can enhance patients’ muscle tension, correct patients’ abnormal gait, improve patients’ balance and walking ability, and contribute to patients’ motor function recovery and self-care ability improvement.
文摘目的:比较不同频率全身振动训练对脑卒中患者下肢功能的影响。方法:将60例脑卒中患者随机分为10Hz组(n=20)、20Hz组(n=20)和30Hz组(n=20)。3组均接受常规康复训练,10Hz组在常规训练上给予10Hz全身振动训练,20Hz组在常规训练上给予20Hz全身振动训练,30Hz组在常规训练上给予30Hz全身振动训练。治疗前和治疗4周后,采用Fugl-Meyer下肢运动功能量表(Fugl-Meyer assessment scale-lower extremity,FMA-LE)、Berg平衡量表(Berg balance scale,BBS)、计时起立-行走测试(time up and go test,TUGT)、10m最大步行速度(10m maximum walking speed,MWS)进行评定。结果:治疗4周后,3组患者的FMA-LE、BBS、TUGT和10mMWS均较治疗前显著改善(P<0.05),30Hz组和20Hz组均显著优于10Hz组(P<0.05),30Hz组各项指标改善最显著(P<0.05)。结论:3组不同频率全身振动训练均可改善脑卒中患者的下肢功能、平衡和步行能力,但30Hz全身振动训练效果最佳。
