摘要
目的:通过对膝关节运动控制训练来探究脑卒中对偏瘫患者步态的影响,从而确定其临床康复治疗的对策。方法:选择深圳市第二人民医院2015年3月至2017年12月确诊为脑卒中所致步态异常的40例患者,随机分为观察组及对照组,各20例。观察组患者进行针对性的膝关节控制性训练,对照组进行常规体能训练(PT)、起立床、行走等整体训练。治疗前后采用Fugl–Meyer运动功能评价法进行康复评估。结果:两组患者治疗后Fugl–Meyer步行能力总分、平衡功能评分、左右步幅差、步速比较,Fugl-Meyer运动功能评分步行能力为治疗组为(25.35±7.52),对照组为(20.53±3.45)分;平衡能力为治疗组为(10.43±2.99)分,对照组为(8.98±3.18)分;左右步幅差(cm)为治疗组(3.45±2.70)cm,对照组为(8.71±4.35)cm;步速(m·s-1)为治疗组(0.68±0.34)分,对照组(0.44±0.29)分,评估结果差异具有统计学意义(P<0.01)。结论:通过对偏瘫患者的膝关节控制性训练,可以显著改善步态,提高患者的步行能力。
Objective To explore the influence of stroke on the gait of patients with hemiplegia by training the knee joint motion control, so as to determine the countermeasures for clinical rehabilitation. Methods Select Shenzhen Second People＇s Hospital from March 2015 to December 2017 was diagnosed with 40 cases of abnormal gait caused by stroke, were randomly divided into observation group and control group, 20 cases each.Targeted knee control exercises were performed in 40 patients with abnormal gait after stroke. Before and after treatment, Fugl-Meyer motor function evaluation method was used for rehabilitation evaluation. Results The walking ability of the Fugl-Meyer motor function score was （25.35 ± 7.52） in the study group and （20.53 ± 3.45） in the control group; the balance was （10.43 ± 2.99） in the study group and 8.98 ± 3.18 in the control group; the left and right step difference（cm）was The study group was （3.45 ± 2.70） and the control group was （8.71 ± 4.35）.The pace（m/s）was 0.68 ± 0.34 in the study group and （0.44 ± 0.29） in the control group. After statistical analysis, there was a significant difference between the two groups（P 〈 0.01）. Conclusion By controlling the knee joints in patients with hemiplegia, the gait can be significantly improved and the patient＇s walking ability can be improved.
作者
龙建军
陈文生
刘铨权
尚万峰
王春宝
段丽红
王玉龙
LONG Jlan-jun;CHEN Wen-sheng;LIU Quan-quan;SHANG Wan-feng;WANG Chun-bao;DUAN Li-hong;WANG Yu-long(Shenzhen Second People＇s Hospital Guangdong Shenzhen 518035;Shenzhen Institute of Geriatrics, Guangdong Shenzhen 518000)
出处
《深圳中西医结合杂志》
2018年第5期1-3,共3页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
基金
广东省医学科研基金项目资助课题(A2016171)
深圳市三名工程"南京医科大学励建安团队"项目资助课题(SZSM201512011)
深圳市卫计委项目资助课题(201506024)
深圳市协同创新计划国际合作研究项目资助课题(GJHZ20170331105318685)
作者简介
龙建军，男，主管技师，深圳市第二人民医院，主要研究方向是脑卒中神经康复。;[通信作者]王玉龙（E-mail：wangyulong@szu．edu．cn）
