CAJ | 학술논문

目的：观察偏瘫患者减重训练最佳开始时间。方法：将120例脑卒中偏瘫患者随机分成4组，对照组行常规康复训练，观察组90例据不同减重训练开始时间分成3组。Barthel指数量表、改良Ashworth分级法、Berg平衡量表、下肢运动功能Fugl-Meyer（FMA）指标评定效果。结果：12周后，各组四项指标均有提高，但观察组效果更明显，且C组>B组>A组，差异有统计学意义。结论：常规康复治疗1周后配合减重训练，对偏瘫患者步行能力、肌张力、平衡能力和下肢运动功能恢复和改善更加明显。
목적：관찰편탄환자감중훈련최가개시시간。방법：장120례뇌졸중편탄환자수궤분성4조，대조조행상규강복훈련，관찰조90례거불동감중훈련개시시간분성3조。Barthel지수량표、개량Ashworth분급법、Berg평형량표、하지운동공능Fugl-Meyer（FMA）지표평정효과。결과：12주후，각조사항지표균유제고，단관찰조효과경명현，차C조>B조>A조，차이유통계학의의。결론：상규강복치료1주후배합감중훈련，대편탄환자보행능력、기장력、평형능력화하지운동공능회복화개선경가명현。
Objective:To observe the best start time of partial weight support for stroke patients with hemiplegia. Methods:One hundred and twenty stroke patients with hemiplegia were divided into 4 groups. The control group received conventional rehabilitation training. The observation group with 90 cases were divided into 3 groups according to the different start times of partial weight support. Barther Index(BI), Berg Balance Scale(BBS), the modified Ashworth grading method(MAS) and Fugl-Meyer Assessment(FMA) were used to assess the effects. Results:After 12 weeks, four indicators of each group were all improved, but the results of partial weight support groups were more obvious, which lined group C>group B>group A. Their differences had statistic signiifcance. Conclusion:After one week conventional rehabilitation, the partial weight support has more apparent for walking ability, muscle tone, balance and lower extremity motor function of the hemiplegic patients recovery and improvement.