摘要
目的:观察基于反复促通疗法(RFE)的步行训练对脑卒中患者下肢功能重建的影响。方法:选取本院康复科收治的脑卒中恢复期患者60例。随机分为对照组和观察组各30例,2组均接受药物基础治疗及常规康复训练,观察组采用基于RFE的步行训练,对照组进行常规步行训练,共4周。治疗前后分别比较2组患者的Fugl-Meyer运动量表下肢部分(FMA-LE)、Holden步行功能分级(FAC)、Berg平衡量表(BBS)评分以及步频、步幅、步速、患足足底压力比(PPF)和包络椭圆面积(EEA)等步态参数。结果:治疗后,2组患者FMA-LA、FAC、BBS评分及步频、步幅、步速、PPF值均较治疗前有所提高(P<0.05),且观察组FMA-LA、BBS评分及步频、步幅、步速、PPF值均高于对照组(P<0.05),2组患者FAC评级无显著性差异;治疗后,2组患者EEA值较治疗前明显降低(P<0.01),且观察组下降幅度大于对照组(P<0.05)。结论:基于反复促通疗法的步行训练对脑卒中患者下肢运动、平衡及步行功能的重建有积极的影响,可以改善步态。
Objective:To observe the effect of walking training based on repetitive facilitative exercise(RFE)on lower limb function reconstruction in stroke patients.Methods:A total of 60 patients with stroke in convalescent stage were selected from the Rehabilitation Department of our hospital.They were randomly divided into control group(n=30)and observation group(n=30).Both groups received basic drug treatment and routine rehabilitation training.The observation group received RFE walking training,and the control group received routine walking training,for 4 weeks.The scores of Fugl-Meyer Assessment-Lower Extremities(FMA-LE),Functional Ambulation Category(FAC),Berg balance scale(BBS)and gait parameters such as stride frequency,stride,pace,proportion of the plantar pressure of the affected foot(PPF),envelope ellipse area(EEA)were compared between the two groups before and after treatment.Results:After treatment,the scores of FMA-LA,FAC,BBS,stride frequency,stride,pace and PPF in the two groups were improved as compared with those before treatment(P<0.05),and the scores of FMA-LA,BBS,stride frequency,stride,pace and PPF in the observation group were higher than those in the control group(P<0.05).There was no significant difference in FAC score between the two groups.After treatment,the EEA values of the two groups were significantly lower than those before treatment(P<0.01),and the decrease in the observation group was greater than that in the control group(P<0.05).Conclusion:Walking training based on RFE has a positive effect on the reconstruction of lower limb movement,balance and walking function in stroke patients,and can improve gait.
作者
陈忠强
康赵颖
占道伟
徐晓丽
钱纪聪
钱立锋
Chen Zhongqiang;Kang Zhaoying;Zhan Daowei(Department of Rehabilitation,Zhejiang Chinese Medical University Affiliated Jiaxing TCM Hospital,Jiaxing 314001,China)
出处
《中国康复》
2024年第2期81-84,共4页
Chinese Journal of Rehabilitation
基金
浙江省中医药科技计划项目(2024ZL1064)
嘉兴市科技计划项目(2018AD32151)。
关键词
脑卒中
反复促通疗法
步行训练
下肢功能障碍
stroke
repetitive facilitative exercise
walking training
lower limb dysfunction
作者简介
陈忠强(1986-),男,主管技师,主要从事神经康复方向的研究;通讯作者:钱立锋,cxqianlifeng@126.com。
