CAJ | 학술논문

目的研究无辅助步行和独立步行能力的脑卒中偏瘫患者进行低强度踏车有氧训练的有效性.方法将无辅助步行和独立步行能力的脑卒中偏瘫患者30例分为对照组和有氧训练组.2组患者均接受常规康复治疗,有氧训练组患者在常规康复治疗的基础上进行每周3次、每次30 min、共6周的低强度踏车有氧训练.2组患者总康复治疗时程和时间均相等.治疗前、后2组患者均采用Fugle-Meyer运动功能评分法(FMA)和Rivermead运动指数评定肢体功能,运用Barthel指数(BI)评定日常生活活动(ADL)能力,并进行运动试验终止心率、耐受时间及实验室检查[空腹血糖、血胰岛素、血脂、血胆固醇、高敏C反应蛋白、口服葡萄糖耐量试验(OGTT)2h血糖和胰岛素等,并计算稳态模型胰岛素抵抗指数(HOMA-IR)].结果 24例患者完成观察程序(每组12例).2组患者治疗前、后肢体运动功能、运动试验耐受时间、空腹胰岛素、OGTT 2 h血糖、HOMA-IR等指标明显改善(P＜0.05),治疗后2组间FMA、Rivermead指数、BI、运动试验耐受时间、空腹胰岛素及OGTT 2 h血糖等差异均有统计学意义(P＜0.05).结论低强度踏车有氧训练可以有效应用于无步行能力的脑卒中偏瘫患者.
목적 연구무보조보행화독립보행능력적뇌졸중편탄환자진행저강도답차유양훈련적유효성.방법 장무보조보행화독립보행능력적뇌졸중편탄환자30례분위대조조화유양훈련조.2조환자균접수상규강복치료,유양훈련조환자재상규강복치료적기출상진행매주3차、매차30 min、공6주적저강도답차유양훈련.2조환자총강복치료시정화시간균상등.치료전、후2조환자균채용Fugle-Meyer운동공능평분법(FMA)화Rivermead운동지수평정지체공능,운용Barthel지수(BI)평정일상생활활동(ADL)능력,병진행운동시험종지심솔、내수시간급실험실검사[공복혈당、혈이도소、혈지、혈담고순、고민C반응단백、구복포도당내량시험(OGTT)2h혈당화이도소등,병계산은태모형이도소저항지수(HOMA-IR)].결과 24례환자완성관찰정서(매조12례).2조환자치료전、후지체운동공능、운동시험내수시간、공복이도소、OGTT 2 h혈당、HOMA-IR등지표명현개선(P＜0.05),치료후2조간FMA、Rivermead지수、BI、운동시험내수시간、공복이도소급OGTT 2 h혈당등차이균유통계학의의(P＜0.05).결론 저강도답차유양훈련가이유효응용우무보행능력적뇌졸중편탄환자.
Objective To study the effectiveness and feasibility of low intensity of aerobic bicycle ergometer training on hemiplegic stroke patients unable to perform assistive or independent ambulation.Methods Thirty stroke patients unable of assistive or independent ambulation were randomly divided into a control group and a aerobic training group.Patients in the aerobic training group performed low intensity of aerobic bicycle ergometer training for 30 min,3 times a week for 6 weeks in addition to a routine rehabilitation regime.The training duration and course of routine rehabilitation training were the same in both groups.The related cardiovascular response in aerobic training and changes in motor performance as well as the risk factors for stroke were observed in both groups.Results Twenty-four patients(12 patients in each group)completed the experiment.Patients in aerobic training group performed all training regime safely without any adverse response.Their motor function(including FMA score,Rivermead index,BI ADL ability),exercise endurance duration in exercise test,glucose level at 2 h in oral glucose tolerance test,fasting insulin level and HOMA-IR index all improved greatly as compared to the control group(P ＜ 0.05).Conclusion Low intensity of aerobic bicycle ergometer training can be safely and effectively administered in hemiplegic stroke patients unable of assistive ambulation or independent ambulation.