| 王文威,王 路,李凌晋,石新棉,林冠梁,杜志伟,曾祥城,潘翠环.基于Bobath理念的步行训练在恢复期脑卒中患者中的应用[J].中国康复医学杂志,2012,27(12):1124~1128 |
| 基于Bobath理念的步行训练在恢复期脑卒中患者中的应用 点此下载全文 |
| 王文威 王 路 李凌晋 石新棉 林冠梁 杜志伟 曾祥城 潘翠环 |
| 广州医学院第二附属医院康复科，510260 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 2201 |
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| 摘要
目的：观察基于Bobath理念的步行训练对恢复期脑卒中患者的步行功能的疗效。
方法：80例具有步行功能障碍的脑卒中恢复期患者随机分为Bobath组（n=40），对照组（n=40）。Bobath组接受一套基于Bobath理念理论框架下的步态训练法。对照组接受常规的步行训练。两组患者步行训练时间均为30min/d，5d/周，持续4周，其余康复治疗如作业疗法、物理因子治疗等两组均相同。两组患者分别于治疗前、治疗后及出院后3周予以FMA下肢(FMA-LE)运动功能评定、Berg平衡量表（BBS）进行评定，同时选用足印步态分析法测量患者的步行参数变化。
结果：两组患者治疗后FMA-LE和BBS的评分均较治疗前提高，步行参数（平均步长、步宽及步速）得到改善，治疗前、后各量表的评分差异具有显著性（P<0.05）；与对照组相比，Bobath组患者在各量表评分提高幅度更大（P<0.05）。两组患者在出院后3周再次评定时，组内比较各量表评分均较治疗后有所提高，但Bobath组内评分比较具有显著性（P<0.05），对照组内比较无显著性（P>0.05）。
结论：对于步行功能障碍的脑卒中患者，采用基于Bobath理念的步行训练法可以更好的改善其步行功能，并且疗效具有持续性。 |
| 关键词：Bobath理念 脑卒中 核心稳定性 中枢模式发生器 |
| Application of gait training based on Bobath concept framework in rehabilitation of stroke patients in convalescent phase Download Fulltext |
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| The Second Affilited Hospital of Guangzhou Medical University, 510260 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To observe the effects of gait training based on Bobath concept framework intervening on walking capability of stroke patients in convalescent phase.
Method: Eighty subjects participated in this randomized single-blind study. Subjects in Bobath group (n=40) practiced with gait training based on Bobath concept framework, and control group (n=40) performed conventional gait training. Program of gait training for both groups were 30 min per day, 5d per week for 4 weeks. Meanwhile, the other rehabilitation therapy programs (occupational therapy, physical modalities therapy) were the same for both group. Fugl-Meyer assessment of lower extremity (FMA-LE), Berg balance scale(BBS), and foot-print analysis were used as outcome measure pre-training, post-training and discharging from hospital after 3 weeks by two appointed raters.
Result: Compared with pre-training, both groups had significant improvement on FMA-LE (P<0.05), BBS (P<0.05), and foot-print analysis (step length, stride width, walking velocity) (P<0.05). Compared with control group, gait training underlying Bobath concept framework group had significantly greater improvement on FMA-LE (P<0.05), BBS (P<0.05), and foot-print analysis (P<0.05). In addition, after discharging from hospital 3 weeks, there were also significant improvements in each scales of patients in Bobath group（P<0.05）, and less improvement in control group（P>0.05）.
Conclusion: Gait training based on Bobath concept may be more advantageous for improving walking ability of stroke patients in convalescent phase, and the therapy effects may last much longer. |
| Keywords:Bobath concept stroke core stability central pattern generator |
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