| 王亚囡,刘惠林,杜雪晶,朱晓敏,刘元旻.水中平板步行训练对恢复期脑卒中偏瘫患者姿势控制及步态对称性的疗效[J].中国康复,2022,37(3):140-144 |
| 水中平板步行训练对恢复期脑卒中偏瘫患者姿势控制及步态对称性的疗效 |
| Efficacy of aquatic treadmill training on postural control and gait symmetry in subacute stroke patients |
| |
| DOI： |
| 中文关键词: 水中平板步行训练 脑卒中；步态；肌骨超声；姿势控制 |
| 英文关键词: aquatic treadmill training stroke gait musculoskeletal ultrasound postural control |
| 基金项目: |
|
| 摘要点击次数: 2853 |
| 全文下载次数: 3901 |
| 中文摘要: |
| 目的：探讨水中平板步行和平板步行训练对脑卒中偏瘫患者姿势控制及步态对称性的影响。方法：选择BrunnstromⅣ期及以上脑卒中偏瘫患者40例，随机分为观察组和对照组各20例。2组均接受常规康复训练，观察组于此基础上采用水中平板步行训练，对照组于此基础上采用平板步行训练，均进行20min/d,5次/周，4周训练。治疗前后进行三维步态分析（支撑期时间比、摆动期时间比、步长比）、姿势控制量表（Postural Assessment Scale for Stroke Patient,PASS）、腹外斜肌、腹内斜肌、腹横肌厚度测量。结果：治疗后，观察组PASS评分、支撑期时间比值、步长比值、腹外斜肌厚度、腹内斜肌厚度、腹横肌厚度改善（P＜0.05），对照组PASS评分、步长比值改善（P＜0.05）。治疗后，PASS评分、步长比值、腹外斜肌厚度、腹内斜肌厚度观察组较对照组改善更明显（P＜0.05）。结论：水中平板步行训练可提高脑卒中恢复期偏瘫患者的姿势控制能力和步态对称性。 |
| 英文摘要: |
| Objective: To investigate the effect of aquatic treadmill training and treadmill training on posture control and gait symmetry in stroke patients. Methods: All 40 patients with stroke hemiplegia at stage Brunnstrom Ⅳ were selected and randomized into treatment group (n=20) and control group (n=20). All the patients received comprehensive rehabilitation training. The treatment group was given aquatic treadmill training, and the control group received treadmill training additionally, 20 min/day, 5 days/week for 4 weeks. Three-dimensional gait analysis (stance time asymmetry ratio, swing time asymmetry ratio, step length asymmetry ratio) was performed, and postural control scale (PASS) and the thickness of external abdominal oblique muscle, internal abdominal oblique muscle and transverse abdominal muscle were measured before and after treatment. Results: After treatment, the score of PASS, stance time asymmetry ratio, step length asymmetry ratio, and thickness of external abdominal oblique muscle, internal abdominal oblique muscle and transverse abdominal muscle were significantly increased (P<0.05) in the treatment group, and the score of PASS and step length asymmetry ratio were improved (P<0.05) in the control group. The score of PASS, step length asymmetry ratio, and thickness of external abdominal oblique muscle and internal abdominal oblique muscle were significantly increased as compared with those in the control group (P<0.05). Conclusion: Aquatic treadmill training can improve posture control and gait symmetry in patients with stroke. |
|
查看全文
下载PDF阅读器 HTML全文 |
| 关闭 |
|
|
|
