| 尹海潮,王雅儒,于梅青,朱建国,闫海燕,刘秀丽.下肢矫正带结合助行器与减重平板训练对脑卒中患者下肢步行能力影响的对比研究[J].中国康复医学杂志,2018,(9):1064~1068 |
| 下肢矫正带结合助行器与减重平板训练对脑卒中患者下肢步行能力影响的对比研究 点此下载全文 |
| 尹海潮 王雅儒 于梅青 朱建国 闫海燕 刘秀丽 |
| 哈励逊国际和平医院，河北省衡水市，053000 |
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| 摘要
目的：探讨下肢矫正带结合助行器和减重平板训练分别对脑卒中患者下肢步行能力的影响。
方法：共选取在我院治疗的脑卒中患者120例，均进行下肢针对性康复治疗。采用随机数字表法将入选患者分为对照组、减重组和矫正带组。对照组由家属辅助自主步行训练；减重组采用减重平板进行步态训练；矫正带组使用下肢矫正带辅助进行步态训练，3组于治疗前、治疗4周后分别进行下肢功能评定。
结果：3组患者组内治疗前后比较，FMA（下肢功能）评分、患肢最大负重比值、10m步行速度、6min步行距离、FAC分级差异均有显著性意义（P<0.01）；减重组治疗后与矫正带组治疗后比较各项指标差异无显著性意义（P>0.05），减重组和矫正带组两组治疗后均优于对照组治疗后各项指标（P<0.05）。
结论：下肢矫正带结合助行器训练和减重平板训练对脑卒中患者下肢步行能力的康复可以达到同样的效果，两者均优于对照组常规步行康复训练的效果，佩戴下肢矫正带可以提高下肢康复疗效。 |
| 关键词：脑卒中 下肢矫正带 助行器 减重平板训练 步行能力 |
| The comparative effects of lower limb corrective band combining with walker, weight bearing treadmill on walking ability of stroke patient Download Fulltext |
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| The Halison International Peace Hospital, Hengshui, 053000 |
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| Abstract
Objective:To study the effects of lower limb corrective band combining with walker, weight bearing treadmill on walking ability of stroke patient
Method: Totally 120 stroke patients treated in our hospital were selected and randomly divided into control group, weight bearing treadmill group, corrective band combining with walker group. Patients in control group took autonomous walking training monitored by their family caregiver, and the others took gait training with weight bearing treadmill or corrective band separately. All patients took low limb function evaluation before and 3 weeks after treatment.
Result:Low extremity FMA, maximum weight bearing rate, 10m walk speed, 6min walking distant of three groups had no difference before treatment. After the 3 week treatment, all parameters improved for 3 groups (P<0.01), but more for weight bearing group and corrective band group than for control group (P<0.05), and no significant different between the two groups (P>0.05). For the corrective band group, wearing the band was better than not (P<0.05).
Conclusion:Routine rehabilitation training combining with weight bearing treadmill or corrective band and walker are both equally effective for improving walk ability of stroke patients and better than those self helped with family care giver. Wearing the corrective band is better than not. |
| Keywords:stroke lower limbs correction walker body weight support treadmill training walking ability |
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