文章摘要
李奎,李鑫,吴丹丽,陈培荣,沈鲁希,马晓丹,郑雅丹,唐志明.电子助行仪对脑卒中患者平衡和步行能力的影响[J].中国康复,2019,34(12):619-622
电子助行仪对脑卒中患者平衡和步行能力的影响
Effect of electronic walking aid on balance and walking ability of stroke patients
  
DOI:
中文关键词: 脑卒中  电子助行仪  功能性电刺激  动态踝足矫形器  平衡  步行
英文关键词: stroke  electronic walking aids  functional electrical stimulation  dynamic ankle-foot orthesis  balance  walking
基金项目:国家自然科学基金青年基金(81401872),梅州市科技计划项目(20158079)
作者单位
李奎 中山大学附属第三医院康复医学科广州 510630 
李鑫 中山大学附属第三医院康复医学科广州 510630 
吴丹丽 中山大学附属第三医院康复医学科广州 510630 
陈培荣 中山大学附属第三医院康复医学科广州 510630 
沈鲁希 中山大学附属第三医院康复医学科广州 510630 
马晓丹 中山大学附属第三医院康复医学科广州 510630 
郑雅丹 中山大学附属第三医院康复医学科广州 510630 
唐志明 中山大学附属第三医院康复医学科广州 510630 
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中文摘要:
  目的:探讨电子助行仪对脑卒中患者平衡和步行能力的影响。方法:将60例脑卒中患者随机分为观察组和对照组各30例,2组患者均进行常规运动治疗,对照组和观察组在此基础上分别佩戴动态踝足矫形器和电子助行仪进行训练。治疗前后采用Berg平衡量表(BBS)和10m 最大步行速度(10m MWS)对患者进行评估。结果:治疗前,佩戴装备后,2组患者组内比较,10m MWS较未佩戴装备时均明显提高(均P<0.05)。治疗2周后,无论是否佩戴装备,2组患者BBS评分及10m MWS较治疗前均明显提高(均P<0.05);未佩戴装备时,观察组10m MWS较对照组明显提高(P<0.01)。结论:佩戴踝足矫形器或电子助行仪均能改脑卒中患者的平衡功能,但电子助行仪在提高患者步行速度方面效果更显著。
英文摘要:
  Objective: To investigate the effect of electronic walking aid on balance and walking ability in stroke patients. Methods: Sixty stroke patients were randomly assigned into treatment group (n=30) and control group (n=30) by the random number table. The patients in the treatment group were given electronic walking aid training on the basis of routine exercise therapy, and those in the control group received dynamic ankle-foot orthesis training on the basis of routine exercise therapy. The balance functions of all subjects were valued by the score of Berg balance scale (BBS), and the walking abilities were observed by 10m maximum walking speed (10m MWS). Results: Before treatment, after wearing the equipment, 10m MWS was significantly increased in both groups as compared with that without wearing the equipment (P<0.05). After 2 weeks of treatment, both BBS scores and 10m MWS in both groups were significantly increased as compared those before treatment (P<0.05), regardless of whether the patients were equipped or not. Without wearing the equipment, 10m MWS in the treatment group was significantly greater than that in the control group (P<0.01). Conclusion: Wearing ankle-foot orthesis or electronic walking aid can improve the balance of stroke patients,but electronic walking aid is more effective in improving patient’s walking speed.
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