设为首页
加入收藏
联系我们
Email-Alert
 

    首页 | 杂志介绍 | 编委成员 | 投稿指南 | 订阅指南 | 过刊浏览 | 论著模板 | 综述模板 | 帮助

 
朱经镇,邹 智,王秋纯,张 涧,周 元,陈红霞,王 婷.基于现实环境的功能性训练对慢性期脑卒中患者的步行和平衡功能的影响[J].中国康复医学杂志,2014,29(5):427~432
基于现实环境的功能性训练对慢性期脑卒中患者的步行和平衡功能的影响    点此下载全文
朱经镇  邹 智  王秋纯  张 涧  周 元  陈红霞  王 婷
广东省中医院,广东省广州市番禺区大学城内环西路,510006
基金项目:
DOI:
摘要点击次数: 1606
全文下载次数: 2031
摘要:
      摘要 目的:探讨基于现实环境的功能性训练对慢性期脑卒中患者的步行与平衡功能的影响。 方法:将21例符合纳入标准的慢性期脑卒中患者随机分为试验组(10例)和对照组(11例)。试验组患者在常规治疗区内的任务导向性训练的基础上进行基于现实环境的功能性训练;对照组患者进行常规治疗区内的任务导向性训练。两组患者的训练均为40min/次,2次/d,5d/周,共治疗8周。在治疗前及治疗进行的第4周和第8周采用10m步行测试、Berg平衡量表测试、6min步行测试和功能性移动分级对患者进行评估。 结果:在第4周及第8周的评估中,除对照组患者在第4周的功能性移动分级外,两组患者的各项评分均较治疗前有显著提高(P<0.05)。在第4周的评分中两组患者的各项评分差异均无显著性意义(P>0.017);在第8周的评估中试验组患者的除功能性移动分级评分外其余3项评估的分值均显著高于对照组(P<0.017)。 结论:对于慢性期脑卒中患者,基于现实环境的功能性训练比常规治疗区内的任务导向性训练能更有效的改善其步速、平衡和行走距离,促进患者回归家庭,融入社区。
关键词:脑卒中  慢性期  功能性训练  行走  平衡
Effects of functional training in realistic environment on walking and balance function in chronic stroke patients    Download Fulltext
Guangdong Provincial Hospital of TCM, No.55 Neihuanxi Road, Guangzhou HEMC, Panyu District, Guangzhou, Guangdong Province, 510006
Fund Project:
Abstract:
      Abstract Objective:To explore the effect of functional training in realistic environment on walking and balance function in chronic stroke patients. Method:Twenty-one chronic stroke patients were randomized to treatment group(10 patients) and control group(11 patients).The patients in treatment group were given functional training in realistic environment on the basis of task-oriented training. While the patients in control group were given task-oriented training only. Both groups received 2 sessions of training per day, each session 40min, 5d/week for 8 weeks. The 10-meter walk test(10 MWT), Berg balance sale(BBS), six-minute walk test(6 MWT), functional ambulation classification(FAC) scale were used to assess the patients' function level before treatment and at the 4th and 8th week of treatment. Result:At the 4th and 8th week assessment, all the scores of both groups increased significantly than that before treatment(P<0.05), except the FAC score at the 4th week assessment of control group. No significant difference was found at the 4th week assessments of two groups(P>0.017);but the scores of 10 MWT, BBS and 6 MWT were significantly higher(P<0.017) in treatment group than in control group at the 8th week assessments except the FAC score of experimental group. Conclusion:The functional training in realistic environment is more effective in improving the walking velocity, balance and walking distance than the conventional indoor task-oriented training. It can help the chronic post-stroke patients return to their family and community.
Keywords:stroke  chronic  functional training  walking  balance
查看全文  查看/发表评论

您是本站第 37845002 位访问者

版权所有:中国康复医学会
主管单位:中国科学技术协会 主办单位:中国康复医学会
地址:北京市朝阳区樱花园东街,中日友好医院内   邮政编码:100029   电话:010-64218095   

本系统由北京勤云科技发展有限公司设计
京ICP备18060696号-2

京公网安备 11010502038612号