| 李周,刘望萍,罗艳,厉勇,周虹,施加加.强化下肢运动控制训练对改善脑卒中患者下肢功能的疗效观察[J].中国康复,2013,28(5):345-347 |
| 强化下肢运动控制训练对改善脑卒中患者下肢功能的疗效观察 |
| Strengthening lower limb motion control training to improve efficacy of lower limb function of stroke patients |
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| DOI： |
| 中文关键词: 下肢蹬踏训练 脑卒中 关节运动控制 |
| 英文关键词: lower limbs pedaling training stroke joint control |
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| 中文摘要: |
| 目的：观察强化下肢运动控制训练对改善脑卒中患者下肢功能的疗效。方法：92例脑卒中患者随机分为2组各46例。对照组采用常规康复治疗方法，观察组在此基础上运用下肢蹬踏训练系统进行运动控制强化训练。分别于治疗前、后对患者Holden步行功能分类、下肢简化Fugl-Meyer运动量表(FMA)以及肌张力(改良Ashworth分级)变化进行对比。结果：治疗6周后，2组Holden功能步行能力及下肢FMA评分均较治疗前明显提高(P＜0.01)，且观察组更高于对照组(P＜0.05)；2组下肢改良Ashworth评分均较治疗前明显下降(P＜0.01) ，且观察组更低于对照组(P＜0.05)。结论：强化下肢运动控制训练能够有效改善脑卒中患者下肢功能，促进患者恢复。 |
| 英文摘要: |
| Objective:To observe the efficacy of strengthening the lower limb motion control training to improve the lower limb function of stroke patients.Methods:Ninety-two stroke patients were randomly divided into control group (46 cases) and observation group (46 cases).The control group was subjected to conventional rehabilitation treatment,and the observation group to lower limb cadence training system for motion control of intensive training additionally.Before and after treatment,patients were compared in Holden functional ambulation classification,simplified lower extremity Fugl-Meyer motor scale assessment and changes of muscle tone (modified Ashworth classification) of two groups.Results:After treatment for 6 weeks,Holden walking ability and lower FMA scores in both groups were significantly increased,and the lower extremity modified Ashworth scores in both groups were decreased significantly as compared with those before treatment (P<0.01),more obviously in observation group (P<0.05).Conclusion:Strengthening the lower limb motion control training can effectively improve stroke patients' lower limb function and promote the recovery of patients. |
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