动作观察疗法联合节律性听觉刺激对脑卒中恢复期患者步行功能的影响

王强; 李新通; 李楠; 陈沛; 高峰; 柴丽; 刘洋

文章摘要

王强,李新通,李楠,陈沛,高峰,柴丽,刘洋.动作观察疗法联合节律性听觉刺激对脑卒中恢复期患者步行功能的影响[J].中国康复,2021,36(3):140-143

动作观察疗法联合节律性听觉刺激对脑卒中恢复期患者步行功能的影响

Effect of action observation therapy combined with rhythmic auditory stimulation on walking function in convalescent patients with stroke

DOI：

中文关键词: 脑卒中动作观察疗法节律性听觉刺激步行功能

英文关键词: stroke action observation therapy rhythmic auditory stimulation walking function

基金项目:陕西省体育局攻关课题基金（2018013）

作者	单位
王强	十堰市太和医院武当山院区现代康复治疗部，湖北十堰 442000
李新通	青岛市市立医院运动医学康复中心，山东青岛 266071
李楠	泗水县人民医院神经内二科，山东济宁273200
陈沛	西安体育学院研究生部，西安 710068
高峰	十堰市太和医院东院区康复治疗部，湖北十堰 442000
柴丽	十堰市太和医院武当山院区现代康复治疗部，湖北十堰 442000
刘洋	西安体育学院研究生部，西安 710068

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中文摘要:

目的：探讨动作观察疗法（AOT）联合节律性听觉刺激（RAS）对脑卒中恢复期患者步行功能的影响。方法：入选取68例脑卒中患者随机分为对照组和观察组各34例。对照组采用常规康复治疗以及AOT，观察组在此基础上增加RAS，共治疗8周。使用Fugl-Meyer下肢运动功能评分量表（FMA-LE）、Berg平衡量表（BBS）、Tinetti步态评估量表（POMA-G）以及10m行走时间测试（10-MWT）评价临床效果。结果：治疗8周后，2组患者FMA-LE、BBS、POMA-G评分与治疗前比较均显著提高（均P＜0.01），且观察组以上评分均明显高于对照组（P＜0.01，0.05）；2组患者10-MWT时间与治疗前比较均显著缩短（均P＜0.01），且观察组10-MWT时间明显少于对照组（P＜0.01）。结论：AOT联合RAS可以有效促进脑卒中后恢复期患者下肢运动功能、平衡功能以及步态的改善，提高患者步行功能。

英文摘要:

Objective: To explore the effect of action observation therapy (AOT) combined with rhythmic auditory stimulation (RAS) on walking function in convalescent patients with stroke.Methods: A total of 68 convalescent patients with stroke were randomly allocated into control group (n=34) and treatment group (n=34). Control group and treatment group were treated with AOT, and treatment group was treated with RAS additionally. The treatment duration was 8 weeks. The results of Fugl-Meyer Motor Assessment of Lower extremity (FMA-LE), Berg Balance Scale (BBS), Performance Oriented Mobility Assessment-Gait (POMA-G), and 10-Meter Walk Test (10-MWT) were compared between the two groups before and after treatment. Results: After 8 weeks of treatment, the scores of FMA-LE, BBS and POMA-G in the two groups were significantly higher than those before treatment (all P＜0.01), and those in the treatment group were significantly higher than those in the control group (P＜0.01, 0.05). As compared with before treatment, the 10-MWT time in the two groups was significantly shortened (all P＜0.01), and that in the treatment group was significantly shorter than that in the control group (P＜0.01). Conclusion: AOT combined with RAS can effectively improve the lower limb motor function, balance function and gait, and improve the walking function in convalescent patients with stroke.

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