CAJ | 학술논문

目的:探讨功能性电刺激(FES)结合减重步行训练(PBWSTT)对脑卒中偏瘫患者步态与步行能力的影响.方法:将100例脑卒中偏瘫患者随机分为A组、B组、C组和D组.4组均进行常规的康复训练,其中A、B、C组则分别另加FES结合PBWSTT、FES、PBWSTT,比较4组患者FMA评分和步态参数的变化.结果:4组患者的FMA评分、MWS、SL均较治疗前增加,SLD较治疗前减少(P<0.05);而A组优于B、C、D组(P<0.05),B、C组优于D组(P<0.05),B、C组之间比较无显著性差异(P>0.05).结论:FES结合PBWSTT能显著改善脑卒中偏瘫患者的步态与步行能力.
목적:탐토공능성전자격(FES)결합감중보행훈련(PBWSTT)대뇌졸중편탄환자보태여보행능력적영향.방법:장100례뇌졸중편탄환자수궤분위A조、B조、C조화D조.4조균진행상규적강복훈련,기중A、B、C조칙분별령가FES결합PBWSTT、FES、PBWSTT,비교4조환자FMA평분화보태삼수적변화.결과:4조환자적FMA평분、MWS、SL균교치료전증가,SLD교치료전감소(P<0.05);이A조우우B、C、D조(P<0.05),B、C조우우D조(P<0.05),B、C조지간비교무현저성차이(P>0.05).결론:FES결합PBWSTT능현저개선뇌졸중편탄환자적보태여보행능력.
Objective:To investigate the effects of functional electrical stimulation (FES) combined with partial body weight support treadmill train-ing (PBWSTT) on gait and walking ability of stroke hemiparesis patients. Methods:100 cases of stroke hemiplegia patients were randomly divided into group A, B, C and D. Both 4 groups received routine rehabilitation therapy, group A, B and C were respectively added with FES combined with PBWSTT, FES and PBWSTT, to compare FMA scores and changes of gait parameters in 4 groups. Results:FMA scores, MWS, SL of 4 groups were higher than those before treatment, while SLD was lower (P<0.05);and group A was better than group B, C and D (P<0.05), group B and C were bet-ter than group D (P<0.05), there was no significant difference between group B and C (P>0.05). Conclusion:FES combined with PBWSTT can sig-nificantly improve the gait and walking ability of stroke hemiplegia patients.