功率自行车运动对亚急性期脑卒中偏瘫患者步行能力和日常生活活动能力的影响.pdf

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Chinese Journal of Rehabilitation Medicine, Jun. 2009, Vol. 24, No6
临床研究?
功率自行车运动对亚急性期脑卒中偏瘫患者
步行能力和日常生活活动能力的影响
崔贵祥1宋成忠1岳寿伟2
摘要目的:探讨功率自行车运动对亚急性期脑卒中患者步行能力的影响。方法:将具有一定步行能力的92例病程
在1-3个月的脑卒中患者随机分为治疗组(46例)和对照组(46例)。对照组患者采用常规康复训练方法,治疗组在
常规康复训练的基础上,增加功率车运动训练,治疗前和治疗6周后分別评定下肢运动功能(采用简化Fugl- Meyer
评分)、平衡功能(Berg平衡量表)、步行能力(采用患者10m步行时问和6min内步行距离测定、 Golden步行功能评
定)、肌张力变化,以及日常生活活动能力(ADL)。结果:两组患者的下肢运动功能、平衡功能和ADI,能力在治疗后较
治疗前均显著改善(P<0.05);治疗后治疗组患者的改善优于对照组(P<0.05);两组经康复训练后步行能力明显改善,
治疗组 Holden步行能力评定达3-5级者共38例(82.6%),对照组共30例(65.2%);两组患者的步行速度提高、步
行的稳定性和安全性改善,治疗组提高程度高于对照组(Pk0.05)。结论:功率自行车运动可改善亚急性期脑卒中偏瘫
患者的运动功能、平衡功能和ADL能力,提高其步行能力。
关键词腑卒中;功率自行车;步行能力
中图分类号;R493,R743.3文献标识码:A文章编号:1001-1242(2009)-06-0530-03
The effects of cycle ergometer on walking abillity and ADL in hemiplegia patients after stroke//CUI
Guixian, SONG Chen zhong, YUE Shouwei/Chinese Journal of Rehabilitation Medicine, 2009, 24(6) 530
532
Abstract Objective: To investigate the effects of cycle ergometer on walking ability in hemiplegia patients after
sub-acute stroke. Method: Ninety-two hemiplegic patients after stroke for 1 to 3 months with a certain walking
bility were randomly divided into two groups as treatment group and control group, each 46 cases. The patients of
both group were treated with routine rehabilitation training, cycle ergometer training was used additionally for the
patients in treatment group. All patients were assessed with simplified Fugl-meyer assessment (FMA), Berg balance
scale BBS), and assessment on ambulation capacity (walking time for 1OM and walking distance in 6min and
Holdens funetional ambulance classification), changcs of spasticity and the ability of activities in daily living
(ADL), at the time of beginning and 6 weeks later. Result: The motor function of lower extremity, balance
erformance, and ADL in two groups improved (P<0.05 ) after 6 weeks'treatment, in treatment group those were
better than in control group (P<0.05). The walking capability, stability and safety in both groups improved
obviously. The seores of BBS, FMA and ADL in treatment group after rehabilitation training were superior to that
in control group (P<0.05). Conclusion: The application of cycle ergometer combined with routine rehabilitation
training improved the motor function of lower extremity, balance performance, walking ability and activities of dail
living distinctly for patients after stroke
Authors address Depl. of Rehabilitation Medicine, Qilu Hospital, Shandong Univeristy. Jinan 250012
Key words stroke; cycle ergometer; walking ability
脑卒中后70%-80%的患者遗留不同程度的残率自行车运动配合常规康复训练,对恢复期脑卒中
疾和下肢运动功能障碍。行走功能是患者进行日常偏瘫者进行综合治疗,观察踏车运动对患者步行
生活活动( activity of daily living,ADL)的基础,影响能力和ADL能力的影响。
患者的生存质量和回归社会的信心,因此,恢复步行
能力是脑卒中偏瘫患者康复训练的重要目标之
1资料与方法
现有的资料表明叫,减重平板运动是目前提高患者步1.1一般资料
行能力最常采用的治疗方法之一,但训练的对象多
选择2006年7月-2008年7月在山东大学齐
为急性期轻症患者,而且仪器设备比较昂贵,在基层
大规模推广使用可能存在一定的困难。由于中枢性
1山东大学齐鲁医院康复医学科,济南,250012
2通讯作者
瘫痪患者肌力下降的同时还存在痉挛等因素,脑卒作者简介,崔费洋,男,主任医师
中患者的肌力训练尚存在诸多的争议。本文采用功收稿日期:2006-12-11