| 刘鹏程.绳带疗法对脑卒中患者恢复期步行功能的疗效观察[J].中国康复,2017,32(6):459-461 |
| 绳带疗法对脑卒中患者恢复期步行功能的疗效观察 |
| Effectiveness of rope therapy for walking function in patients with stoke during convalescente |
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| DOI： |
| 中文关键词: 脑卒中 步行 绳带疗法 |
| 英文关键词: stroke walking function rope therapy |
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| 中文摘要: |
| 目的：通过应用绳带疗法来观察脑卒中恢复期患者的步行功能的改善情况。方法：脑卒中恢复期患者48例随机分成观察组和对照组各24例，其中对照组采用常规康复治疗项目；观察组在常规康复治疗项目的基础上辅助绳带疗法进行治疗。治疗前后采用Tinetti步态量表、简化Fugl-Meyer评定下肢部分（FMA-LE）、Holden步行功能分类评定、10m行走时间测试（10MWT）、6min步行距离测试(6MWT)来进行评定疗效。结果：治疗6周后，2组患者 FMA-LE及Tinetti评分均较治疗前明显提高（均P＜0.01），且观察组高于对照组（均P＜0.05）；2组Holden步行功能分级均较治疗前明显提高（均P＜0.05），且观察组高于对照组（均P＜0.05）；2组10MWT较治疗前明显缩短（均P<0.01），且观察组低于对照组（均P＜0.05）；6MWT步行能力较治疗前明显提高（均P<0.01），且观察组高于对照组（均P＜0.05）。结论：绳带疗法可以改善脑卒中患者的步行步态功能。 |
| 英文摘要: |
| Objective: To observe the improvement of walking function by rope therapy in patients with stoke during convalescence. Methods: The 48 patients with stroke during convalescence were randomly divided into the experimental group and the control group, 24 cases in each group. The control group was treated with routine rehabilitation program. The experimental group was given rope therapy on the basis of routine rehabilitation therapy. The curative effectiveness of two groups was assessed with Tinetti Gait Analysis, FMA-LE (simplified Fugl-Meyer evaluation of lower limbs), and walking ability assessment (Holden walking function classification, 10-meter walking test, 6-minute walking test) before and after treatments. Results: After treatment for 6 weeks, the scores of the Tinetti Gait Analysis and FMA-LE were significantly increased in both groups as compared with those before treatment (P<0.01), and the improvement in the experimental group was more significant than in the control group (P<0.05). The walking ability (assessed by Holden walking function classification) in both two groups was significantly improved after treatment as compared with that before treatment (P<0.05), more significantly in the experimental group than in the control group (P<0.05). The time of 10-min walking test in both two groups was significantly shortened after treatment as compared with that before treatment (P<0.01), and that in the experimental group was significantly shorter than that in the control group (P<0.05). The distance of 6-min walking test in both two groups were markedly lengthened after treatment as compared with that before treatment (P<0.01), and that in the experimental group was longer than that in the control group (P<0.05). Conclusion: Rope therapy can improve walking function in patients with stroke. |
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