CAJ | 학술논문

目的：探讨任务强化性训练对急性脑梗死偏瘫患者步行功能的影响。方法将60例急性脑梗死患者随机分为观察组（30例）和对照组（30例），2组患者均接受常规药物治疗和常规早期康复治疗，观察组在上述治疗的基础上增加任务强化性训练，内容包括：坐位训练、坐－站训练、站立训练和步行训练。分别在治疗前、治疗8周后采用功能性步行能力分级（FAC）对2组患者进行步行功能评定。结果治疗前2组患者FAC步行分级比较，差异无统计学意义（P＞0．05）；治疗8周后，2组患者FAC步行分级较治疗前均有改善，但观察组患者的分级更高，比对照组获得更好的步行能力（P＝0．003）。结论在常规治疗的基础上，给予任务强化性训练能更有效地改善脑梗死偏瘫患者的步行功能。
목적：탐토임무강화성훈련대급성뇌경사편탄환자보행공능적영향。방법장60례급성뇌경사환자수궤분위관찰조（30례）화대조조（30례），2조환자균접수상규약물치료화상규조기강복치료，관찰조재상술치료적기출상증가임무강화성훈련，내용포괄：좌위훈련、좌－참훈련、참립훈련화보행훈련。분별재치료전、치료8주후채용공능성보행능력분급（FAC）대2조환자진행보행공능평정。결과치료전2조환자FAC보행분급비교，차이무통계학의의（P＞0．05）；치료8주후，2조환자FAC보행분급교치료전균유개선，단관찰조환자적분급경고，비대조조획득경호적보행능력（P＝0．003）。결론재상규치료적기출상，급여임무강화성훈련능경유효지개선뇌경사편탄환자적보행공능。
Objective Toexploretheeffectofintensetasktrainingtoimprovewalkingfunctionofpatientswithacutecerebralinfarctionand hemiplegia.Methods 60patientswithacutecerebralinfarctionandhemiplegiawererandomlydividedintocontrolgroupandintervention group,each group had 30 patients.The routine drug therapy and early rehabilitation therapy were given to the control group;on the basis of the above treatment,intense task training,including sitting training,sitting-standing training,standing training and walking training were given to the intervention group.Then using Functional Ambulation Classification(FAC)to compare the walking function between the two groups before treatmentandafter8weeks’treatmentrespectively.Results Therewasnosignificantdifferenceofwalkingfunctionbetweenthetwogroups before treatment(P>0.05).After 8 weeks’treatment,both of the two groups’walking function improved,but the intervention group’s pa-tientshadbetterwalkingfunction(P=0.003).Conclusion Onthebasisofroutinetreatment,intensetasktrainingishelptoimprovethe walking function of patients with acute cerebral infarction and hemiplegia.