《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (02): 207-211.

• 临床研究 • 上一篇    下一篇

水中平板训练和减重平板训练对脑卒中偏瘫患者步行和平衡功能的影响

吴琼1,2a，丛芳1,2a，宋桂芸1,2b   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院，a.理疗科，b.评定科，北京市100068。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-02-25 发布日期:2015-02-25

Comparison of Effects between Underwater and Body Weight Support Treadmill Training on Walking and Balance in Hemiplegics after Stroke

WU Qiong, CONG Fang, SONG Gui-yun   

  1. Capital Medical University School of Rehabilitation Medicine, Department of Modality Therapy and Department of Rehabilitation Evaluation, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-02-25 Online:2015-02-25

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摘要： 目的比较水中平板训练(UWTT)、减重平板训练(BWSTT)和常规步行训练(CGT)对脑卒中偏瘫患者步行和平衡功能的效果。方法43 例脑卒中偏瘫患者分为CGT组(n=14)、BWSTT组(n=13)和UWTT组(n=16)，后两组在CGT组的基础上，分别接受BWSTT和UWTT。训练前后采用功能性步行分级(FAC)、10 m最大步行速度(MWS)、6 min 步行距离(6MWT)进行评定，采用平衡测试仪进行动、静态平衡功能测试。结果经过4 周训练，各组FAC、MWS、6MWT及动、静态平衡功能指标均有改善(P<0.05)；UWTT 组在6MWT、患侧下肢负重时间、闭眼重心移动总轨迹长及稳定极限范围方面优于BWSTT 组(P<0.05)。结论UWTT在改善患者步行耐力及动、静态平衡功能等方面效果优于BWSTT。

关键词: 脑卒中, 偏瘫, 水中平板训练, 减重平板训练, 康复, 步行, 平衡

Abstract: Objective To compare the effect of underwater treadmill training (UWTT), body weight support treadmill training (BWSTT) and conventional gait training (CGT) for walking ability and balance function in hemiplegic patients after stroke. Methods 43 patients were divided into CGT group (n=14), BWSTT group (n=13) and UWTT group (n=16). Based on conventional gait training, the UWTT group and BWSTT group respectively accepted UWTT and BWSTT for 4 weeks. They were assessed with Functional Ambulation Category (FAC), maximum walking speed (MWS), 6 Minute Walk Test (6MWT), and dynamic balance function and static balance function with Active Balancer before and after training. Results All the patients improved in all items after training (P<0.05), while the UWTT group improved more in the 6MWT and balance function items than the BWSTT group (P<0.05). Conclusion UWTT is more effective for hemiplegic patients after stroke in walking ability and balance function than BWSTT.

Key words: stroke, hemiplegia, underwater treadmill training, body weight support treadmill training, rehabilitation, walking, balance