摘要
目的探讨四肢联动对恢复期脑卒中患者步行能力的影响。方法将具有一定步行能力的70例脑卒中患者随机分为治疗组和对照组,每组各35例。对照组采用常规康复训练方法,治疗组在对照组的基础上,加用美国进口四肢联动(Nustep T4)运动训练。治疗前和治疗8周后分别评定患者的运动功能(采用Fugl-Meyer评分)、平衡功能(采用Berg平衡量表),日常生活能力(ADL能力,采用改良Barthel指数)及步行能力(采用10m步行时间和6 min内步行距离测定)。结果治疗8周后两组患者的运动功能、平衡功能、步行能力和ADL能力均有改善(P<0.05),且治疗组患者改善情况优于对照组(P<0.05)。结论四肢联动系统训练可改善脑卒中恢复期偏瘫患者运动能力、平衡能力和ADL能力,提高其步行能力。
Objective To investigate the effect of Nustep-T4 on walking ability of stroke patients with hemiplegia at convalescent period.Methods Seventy patients with hemiplegia after stroke of 3 to 6 months with a certain walking capability were randomly divided into the treatment group and control group with 35 cases in each. The control group was treated with routine reha- bilitation- training; the treatment group was added with the Nustep-T4 training. All patients were assessed with simplified Fugle-Meyer Assessment （ FMA）, Berg Balance Scale （ BBS）, Ambulation capacity （walking time in 10 meters and walking distance in 6 minutes）, changes of spasticity and the ability of daily living （ADL） at the time of before treatement and 8 weeks later. Results The motor function of lower extremity, balance performance, walking capability and ADL of the patients in two groups improved （P〈0.05） after 8 weeks of treatment, but the therapeutic effect of the treatment group was better than that of control group （P〈0.05）. Con- clusion The Nustep T4 combined with routine rehabilitation training can distinctly improve the motor function of lower extremity, balance performance and ADL ability, can also improve the walking ability.
出处
《湖北民族学院学报（医学版）》
2014年第1期28-30,共3页
Journal of Hubei Minzu University(Medical Edition)
