CAJ | 학술논문

目的探讨减重步行训练对卒中后遗症期偏瘫患者步行功能、下肢运动功能、日常生活能力及生活质量的影响.方法将广州医学院第二附属医院康复科自2009年5月至2011年6月收治的58例卒中后遗症期偏瘫患者按随机数字表法分为减重步行训练组30例及对照组28例,对照组接受常规康复治疗,减重步行训练组除接受常规康复训练外另接受减重步行训练.在治疗前后采用功能性步行量表(FAC)、FugI-Meyer量表(FMA)、Barthel指数(BI)及生活质量量表(SF-36)分别评价患者步行功能、下肢运动功能、日常生活能力及生活质量.结果治疗前2组患者FAC、FMA、BI、SF-36评分比较差异均无统计学意义(P＞0.05).治疗后2组患者FAC、FMA、BI、SF-36评分均较治疗前明显提高,差异有统计学意义(P＜0.05),其中减重步行训练组FAC、FMA、BI、SF-36评分改善情况均明显优于对照组,差异有统计学意义(P＜0.05).结论减重步行训练较常规康复治疗能显著提高卒中后遗症期偏瘫患者的步行功能、下肢运动能力、日常生活能力及生活质量.
목적 탐토감중보행훈련대졸중후유증기편탄환자보행공능、하지운동공능、일상생활능력급생활질량적영향.방법 장엄주의학원제이부속의원강복과자2009년5월지2011년6월수치적58례졸중후유증기편탄환자안수궤수자표법분위감중보행훈련조30례급대조조28례,대조조접수상규강복치료,감중보행훈련조제접수상규강복훈련외령접수감중보행훈련.재치료전후채용공능성보행량표(FAC)、FugI-Meyer량표(FMA)、Barthel지수(BI)급생활질량량표(SF-36)분별평개환자보행공능、하지운동공능、일상생활능력급생활질량.결과 치료전2조환자FAC、FMA、BI、SF-36평분비교차이균무통계학의의(P＞0.05).치료후2조환자FAC、FMA、BI、SF-36평분균교치료전명현제고,차이유통계학의의(P＜0.05),기중감중보행훈련조FAC、FMA、BI、SF-36평분개선정황균명현우우대조조,차이유통계학의의(P＜0.05).결론 감중보행훈련교상규강복치료능현저제고졸중후유증기편탄환자적보행공능、하지운동능력、일상생활능력급생활질량.
[Objective]To explore the effect of body weight support treadmill training (BWSTT) on motor function of lower extremities,walking ability,activities of daily living and quality of life in chronic hemiplegic patients after stroke.[Methods]Fifty-eight stroke patients in sequela stage,admitted to our hospital from May 2009 to June 2011,were randomly divided into BWSTT group (n=30) and control group (n=28).Patients in the control group received conventional rehabilitation training while those in the BWSTT group received both conventional rehabilitation training and BWSTT.Functional Ambulation Category (FAC),Fugl-Meyer Assessment (FMA),Barthel Index (BI) and Short Form-36 (SF-36) were used to assess the effect before treatment and 8 weeks after treatment.[Results] Before treatment,no significant differences in terms of scores with FAC,FMA,BI and SF-36 were noted between the 2 groups (P＞0.05).After treatment,the FAC,FMlA,BI and SF-36 scores were all signficantly improved in both groups (P＜0.05);and the BWSTT group scored significantly better than the control group (P＜0.05).[Conclusion] BWSTT can significantly improve the walking ability,motor function of lower extremities,activities of daily living and the quality of life of stroke patients in sequela stage.