| 杜雪晶,金龙,刘元旻,朱晓敏,刘建华.水中步行训练对偏瘫患者下肢肌肉形态、平衡和步行能力的影响[J].中国康复,2023,38(3):144-147 |
| 水中步行训练对偏瘫患者下肢肌肉形态、平衡和步行能力的影响 |
| Effects of water-based walking training on muscle morphology of lower limbs, balance and walking ability in stroke patients |
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| DOI： |
| 中文关键词: 水中步行 陆上步行 肌肉厚度 羽状角 偏瘫 |
| 英文关键词: water-based walking land-based walking muscle thickness pinnate angle stroke |
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| 中文摘要: |
| 目的：探讨水中步行对偏瘫患者下肢肌肉厚度、羽状角、平衡和步行能力的影响。方法：选取偏瘫患者30例，随机分为观察组和对照组各15例，均接受常规运动训练。在此基础上，观察组接受水下平板训练，对照组接受陆上步行训练。治疗前后测量患侧下肢主要肌群厚度、羽状角，Berg平衡量表(BBS)评分，Holden步行功能分级。结果：治疗4周后，2组内侧腓肠肌羽状角较治疗前减小（均P<0.05），且观察组小于对照组（P<0.05）；2组其他下肢肌肉厚度及羽状角均较治疗前显著增加（均P<0.05），且观察组股直肌、胫骨前肌、外侧腓肠肌肌肉厚度较对照组均显著增加（均P<0.05），2组间内侧腓肠肌厚度比较差异无统计学意义；2组患者BBS评分及Holden步行功能分级均较治疗前有显著提高（均P<0.05），2组间BBS评分及Holden步行功能分级比较差异无统计学意义。结论：水中步行运动可以提高患侧下肢肌肉厚度、羽状角角度，对平衡功能和步行独立性有积极影响。 |
| 英文摘要: |
| Objective: To study the effects of water-based walking on muscle thickness and pinnate angle of lower limbs, balance function and walking ability in stroke patients. Methods: From July 2021 to March 2022, 30 patients with stroke in Beijing Bo’ai Hospital were recruited and randomly divided into experimental group (n=15) and control group (n=15). All of the patients received routine exercise training. In addition, the experimental group received extra water-based walking training, and the control group received extra land-based walking training. Before and after treatment, the thickness and pinnate angle of lower extremity muscles were assessed by Musculoskeletal Ultrasound. Berg balance scale (BBS) and Holden walking function classification were used to assess motor function. Results: After 4 weeks of treatment, except the pinnate angle of medial gastrocnemius, thickness and pinnate angle of other lower extremity muscles in experimental group were significantly increased (all P<0.05). In the control group, except the lateral gastrocnemius, the thickness and pinnate angle of other lower extremity muscles were significantly increased (all P<0.05). The thickness and pinnate angle of rectus femoris, tibialis anterior, lateral gastrocnemius in experimental group were significantly increased as compared with those in the control group (all P<0.05). After treatment, the BBS score in two groups was significantly increased as compared with that before treatment (both P<0.05), and the Holden walking function of experimental group was significantly increased as compared with that before treatment (P<0.05). There was no significant difference in BBS score and Holden walking function between two groups. Conclusion: The water-based walking training can increase the thickness and pinnate angle of the affected lower extremity muscles, and has a positive impact on balance function and walking independence. |
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