CAJ | 학술논문

目的：探讨不同强化时间对脑卒中患者步行功能恢复的影响。方法：选取2011年1月～2014年10月脑卒中后偏瘫并接受康复治疗的患者51例，并随机分为80min组（n=25例）和120min组（n=26例）。对照组给予80min下肢强化训练，观察组给予120min下肢强化训练，对比两组疗效。结果：强化训练2周、4周后120min组的FAC分级分别为（3.32±0.57）级、（3.91±0.44）级， FMA评分分别为（26.76±5.88）分、（29.94±5.19）分，均明显高于80min组的（2.65±0.49）级、（3.22±0.31）级、（23.07±4.97）分、（25.31±3.68）分（P<0.05）；强化训练2周以及强化训练4后，120min组独立步行比例依次为100%、100%，显著高于80min组的48%、68%（P<0.05）。结论：强化训练对脑卒中患者步行功能恢复的影响效果显著，且患者的步行功能随着训练时间的延长而增强，120min下肢强化训练可以明显地提高患者的步行功能、下肢运动能力和独立步行能力，值得推广。
목적：탐토불동강화시간대뇌졸중환자보행공능회복적영향。방법：선취2011년1월～2014년10월뇌졸중후편탄병접수강복치료적환자51례，병수궤분위80min조（n=25례）화120min조（n=26례）。대조조급여80min하지강화훈련，관찰조급여120min하지강화훈련，대비량조료효。결과：강화훈련2주、4주후120min조적FAC분급분별위（3.32±0.57）급、（3.91±0.44）급， FMA평분분별위（26.76±5.88）분、（29.94±5.19）분，균명현고우80min조적（2.65±0.49）급、（3.22±0.31）급、（23.07±4.97）분、（25.31±3.68）분（P<0.05）；강화훈련2주이급강화훈련4후，120min조독립보행비례의차위100%、100%，현저고우80min조적48%、68%（P<0.05）。결론：강화훈련대뇌졸중환자보행공능회복적영향효과현저，차환자적보행공능수착훈련시간적연장이증강，120min하지강화훈련가이명현지제고환자적보행공능、하지운동능력화독립보행능력，치득추엄。
Objective:To investigate effects of different intensive training time on walk function recovery in patients with stroke.Methods:51 cases of stroke patients with hemiplegia frome2013 January to 2014 October were selected and were randomly divided into 80min group (n=25 cases) and 120min group (n=26).The control group was given 80min oflower extremity strengthening training, while the observation group was given 120min of lower extremity strengthening training. The efficacy of the two groups was compared. Results:After 2 weeks and 4 weeks of intensive training, FAC classification, FMA score, the proportion of independent walking of 120min groupwere significantly higher than those of 80min group (P<0.05).Conclusion:Strengthening training in treatment of walk function recovery in patients with stroke has a good effect, and walk function enhances with training time increasing.