| 商健,郭耀锐,白丽,樊守丽,贾丽红,魏政,刘耀东.血流限制联合悬吊训练对脑卒中患者下肢功能和步行能力的影响[J].中国康复,2025,40(1):11-15 |
| 血流限制联合悬吊训练对脑卒中患者下肢功能和步行能力的影响 |
| Effects of blood flow restriction combined with suspension training on lower limb function and walking ability in stroke patients |
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| DOI：10.3870/zgkf.2025.01.002 |
| 中文关键词: 脑卒中 血流限制 悬吊 下肢功能 步行能力 |
| 英文关键词: stroke blood flow limitation suspension lower extremity function walking ability |
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| 中文摘要: |
| 目的：探讨血流限制（BFR）联合悬吊训练对脑卒中患者下肢功能和步行能力的改善作用。方法：选取40例脑卒中患者，随机分为联合组和悬吊组各20例。2组均进行常规康复训练，悬吊组另采用悬吊训练，联合组在悬吊组基础上联合BFR治疗。治疗前和治疗4周后，采用10m步行测试（10MWT）、Fugl-meyer下肢运动功能评定表（FMA-LE）、平衡功能测试、步行功能测试和改良Barthel指数（MBI）评估2组患者下肢功能和步行能力。结果：治疗后，2组10m步行时间、患侧支撑相比和双侧支撑相比较治疗前显著降低（P＜0.05），2组FMA-LE和MBI指数评分、身体最大位移、膝关节屈曲最大角度、步行速度和步行频率及联合组髋关节屈曲最大角度均较治疗前显著提高（P＜0.05），悬吊组髋关节屈曲最大角度与治疗前比较差异无统计学意义；联合组10m步行时间、患侧和双侧支撑相比均低于悬吊组（P＜0.05），身体最大位移、步行速度和步行频率均高于悬吊组（P＜0.05），而FMA-LE和MBI指数评分与悬吊组比较差异无统计学意义。结论：血流限制联合悬吊训练能有效改善脑卒中患者下肢功能，提高下肢步行能力。 |
| 英文摘要: |
| Objective: To investigate the clinical efficacy of blood flow restriction combined with suspension training on lower limb function and walking ability in stroke patients. Methods: A total of 40 stroke patients were randomly divided into the combined group (n=20) and the suspension group (n=20). Both groups received conventional rehabilitation training, while the suspension group additionally received suspension exercise therapy, and the combined group received blood flow restriction treatment in addition to suspension exercise therapy. The 10-meter walk test, Fugl-Meyer lower extremity assessment, maximum body displacement, modified Barthel index, and Gaitwatch three-dimensional gait analysis were conducted before and after 4 weeks of treatment. The Gaitwatch analysis was done to measure step length, walking speed, stance phase, swing phase, and joint angle changes during the entire gait cycle. Results: After treatment, except for the maximum flexion angle of the hip joint, which only showed effectiveness in the combined group compared to before treatment, both groups showed a significant reduction in the 10-meter walking test, and the proportion of support time on the affected side and on both sides (P<0.05). There were also significant increases before treatment in the Fugl-Meyer lower limb motor function, maximum body displacement, Barthel index, maximum knee flexion angle, walking speed, and walking frequency (P<0.05). The combined group showed shorter 10-meter walking time and lower proportion of support time on the affected side and on both sides than the suspension group (P<0.05), and higher maximum body displacement, walking speed, and walking frequency than the suspension group (P<0.05). Conclusion: Blood flow restriction combined with suspension training can effectively improve lower limb function and enhance lower limb walking ability in stroke patients. |
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