摘要
目的探究节律性听觉刺激(RAS)干预对卒中后步行功能的影响。方法采用前瞻性研究,连续纳入2021年1月至12月首都医科大学宣武医院康复医学科住院卒中患者40例,并按随机数字表法分为对照组和试验组各20例。对照组进行常规肢体康复训练:30 min/次,2次/d,5 d/周;康复踏车训练:20 min/次,2次/d,5 d/周。试验组在对照组的基础上增加RAS,30 min/次,2次/d,5 d/周。疗程均为2周。使用中国科学院计算技术研究所研制的盖力步态分析系统中的可穿戴采集设备进行数据收集,对患者治疗前后Fugl-Meyer下肢运动功能评估(FMA-LE)量表评分以及步速(m/s)、步幅时间(s)、步频(步/min)、步长时间差(∣健侧步长(s)-患侧步长(s)∣),着地冲击力差(∣健侧冲击力(g)-患侧冲击力(g)∣)和10 m行走时间测试(10-MWT)进行评定并进行组间治疗前后比较。结果(1)治疗前两组患者基本资料差异均无统计学意义(均P>0.05)。(2)FMA-LE量表评分:对照组治疗前后FMA-LE量表评分分别为26.05(20.50,30.75)、28.05(23.25,32.25)分,试验组治疗前后FMA-LE量表评分分别为24.65(21.25,29.50)、28.65(26.00,32.50)分,试验组和对照组治疗前与治疗后的差异均有统计学意义(均P<0.01),且试验组改善明显优于对照组(P<0.01)。(3)步速、步幅、步频、步长时间差、着地冲击力差:两组治疗2周后与治疗前比较,步速、步幅、步频、步长时间差、着地冲击力差的差异均有统计学意义[对照组分别为(0.59±0.18)m/s比(0.44±0.21)m/s,(2.0±0.6)s比(1.6±0.5)s,(79±12)步/min比(66±13)步/min,0.23(0.05,0.64)s比0.33(0.05,0.58)s,0.37(0.10,0.64)g比0.44(0.10,0.69)g;试验组分别为:(0.60±0.19)m/s比(0.33±0.17)m/s,(2.3±0.5)s比(1.6±0.5)s,(77±13)步/min比(61±15)步/min,0.06(0.02,0.28)s比0.17(0.07,0.49)s,0.20(0.05,0.35)g比0.53(0.29,0.82)g;均P<0.05],且试验组改善均优于对照组(均P<0.05)。(4)10-MWT:对照组治疗前后10-MWT分别为(34±13)、(23±8)s,试验�
Objective To explore the effect of rhythmic auditory stimulation(RAS)on walking function after stroke.Methods From January to December 2021,40 stroke patients in Department of Rehabilitation Medicine of Xuanwu Hospital,Capital Medical University were enrolled in a prospective study,and divided into control group and experimental group according to random number table method,with 20 patients in each group.The control group received routine limb rehabilitation training:30 min/time,2 times/day,5 days/week,and rehabilitation bicycle training:20 min/time,2 times/day,5 days/week.The experimental group added RAS on the basis of the control group,30 min/time,2 times/day,5 days/week.The course of treatment was 2 weeks.The wearable acquisition device in gaitboter gait analysis system developed by Institute of Computing Technology,Chinese Academy of Sciences was used for data collection,and the Fugl-Meyer Assessment of Lower Extremity(FMA-LE)score,gait speed(m/s),stride time(s),stride frequency(step/min),step time difference(∣healthy side step[s]-affected side step[s]∣),landing impact force difference(∣Healthy side impact force[g]-affected side impact force[g]∣)before and after treatment were measured,and 10-meter walking test(10-MWT)score before and after treatment were evaluated.Results(1)there was no significant difference in the basic data between before treatment of the two groups(P>0.05).(2)The FMA-LE scores of the control group before and after treatment are 26.05(20.5,30.75)and 28.05(23.25,32.25)points;the FMA-LE scores of the experimental group before and after treatment were 24.65(21.25,29.50)and 28.65(26.00.32.50)points;there were significant differences between before and after treatment of the two groups(both P<0.01),and the improvement of the experimental group was significantly better than that of the control group(P<0.01).(3)The gait speed,stride length,stride frequency,step time difference and landing impact force difference:there were statistically significant differences in gait speed,stride lengt
作者
葛亚丽
曹磊
宋为群
Ge Yali;Cao Lei;Song Weiqun(Department of Rehabilitation Medicine,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2022年第4期247-253,共7页
Chinese Journal of Cerebrovascular Diseases
基金
2020年度“培育计划”项目(PX2020037)。
关键词
卒中
节律性听觉刺激
步行障碍
步态分析系统
Stroke
Rhythmic auditory stimulation
Walking disorders
Gait analysis system
