基于自我效能理论的数字化步行功能训练对脑卒中患者下肢功能的效果

doi:10.3969/j.issn.1006-9771.2023.05.002

Abstract

Abstract:

Objective To investigate the effect of self-efficacy-based intelligent walking training on function of lower extremities of stroke patients.

Methods From December, 2021 to December, 2022, 44 stroke inpatients from Zhejiang Provincial People's Hospital were randomly divided into control group (n = 22) and experimental group (n = 22). Both groups accepted routine rehabilitation, while the control group accepted routine gait training, and the experimental group accepted self-efficacy-based intelligent walking training on the gait training system (Walker View), for six weeks. They were assessed with Fugl-Meyer Assessment-Lower Extremities, 10-Meter Walk Test, Timed 'Up and Go' Test, stride length and average walking velocity, Functional Ambulation Category and General Self-Efficacy Scale before and after treatment.

Results Three cases dropped down in the experimental group. All the indexes improved in two groups after treatment (|t| > 5.808, |Z| > 2.961, P < 0.01), and improved more in the experimental group than in the control group (|t| > 2.049, Z = -2.572, P < 0.05).

Conclusion The self-efficacy-based intelligent walking training can promote the recovery of motor function of lower extremities and walking ability in stroke patients.

Key words: stroke, lower extremity, motor function, walking, self-efficacy

CLC Number:

R743.3

JIN Zhenhua, CHEN Ling, LIU Yong. Effect of self-efficacy-based intelligent walking training on function of lower extremities of stroke patients[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(5): 504-509.

Figures/Tables 8

References 35

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组别	n	性别 (男/女)/n	年龄/岁	病程/d	卒中类型 (出血/梗死)/n	病灶侧 (左/右)/n	Brunnstrom分期 (Ⅲ/Ⅳ)/n
对照组	22	13/9	53.05±5.40	44.50±7.58	9/13	8/14	13/9
试验组	22	10/12	54.27±6.27	47.05±7.12	11/11	12/10	15/7
χ²/F/Z值		0.820	0.411	0.350	0.367	1.467	-0.620
P值		0.365	0.649	0.257	0.545	0.226	0.536

组别	n	治疗前	治疗后	t值	P值
对照组	22	43.082±5.348	39.009±3.941	6.472	< 0.001
试验组	19	43.026±7.451	34.611±5.671	10.838	< 0.001
t值		0.028	2.915
P值		0.978	0.006

组别	n	治疗前	治疗后	t值	P值
对照组	22	48.959±6.340	42.114±3.766	7.007	< 0.001
试验组	19	49.526±6.955	39.284±5.056	11.456	< 0.001
t值		-0.273	2.049
P值		0.786	0.047

组别	n	治疗前	治疗后	t值	P值
对照组	22	13.805±1.332	18.250±1.040	-27.185	< 0.001
试验组	19	13.337±1.185	19.937±1.491	-22.855	< 0.001
t值		1.180	-4.247
P值		0.245	< 0.001

组别	n	治疗前	治疗后	t值	P值
对照组	22	0.700±0.237	1.064±0.250	-5.808	< 0.001
试验组	19	0.695±0.235	1.232±0.214	-11.666	< 0.001
t值		0.071	-2.294
P值		0.944	0.027

Effect of self-efficacy-based intelligent walking training on function of lower extremities of stroke patients

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组别	n	治疗前	治疗后	t值	P值
对照组	22	14.910±1.306	17.000±1.480	-11.300	< 0.001
试验组	19	14.790±1.584	18.530±1.775	-13.636	< 0.001
t值		0.265	-3.003
P值		0.792	0.005

组别	n	治疗前						治疗后						Z值	P值
组别	n	0	1	2	3	4	5	0	1	2	3	4	5	Z值	P值
对照组	22	0	0	7	13	2	0	0	0	1	12	9	0	-2.961	0.003
试验组	19	0	0	3	14	2	0	0	0	0	4	14	1	-4.210	< 0.001
Z值		-1.016						-2.572
P值		0.310						0.010

组别	n	治疗前	治疗后	t值	P值
对照组	22	2.486±0.488	2.777±0.331	-7.181	< 0.001
试验组	19	2.595±0.437	3.047±0.336	-9.433	< 0.001
t值		-0.744	-2.589
P值		0.461	0.013

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