首页|节律性听觉刺激对大脑前循环卒中偏瘫患者平衡功能和步行功能的影响

节律性听觉刺激对大脑前循环卒中偏瘫患者平衡功能和步行功能的影响

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目的 探讨节律性听觉刺激(rhythmic auditory stimulation,RAS)对大脑前循环卒中偏瘫患者平衡功能和步行功能的影响.方法 选取2022年9月到2023年7月中国康复研究中心神经康复科的住院大脑前循环卒中偏瘫患者60例,采用随机数字表法分成试验组和对照组,每组30例.试验组在常规康复训练的基础上进行RAS步行训练,对照组进行口头指示的步行训练,两组均为15 min/d,5 d/周,疗程4周.分别采用Berg平衡量表(Berg balance scale,BBS)、10米步行计时测试(10-meter walk test,10-MWT)和GaitWatch三维步态分析仪比较训练前后两组患者平衡功能、步行功能和步速、步频、跨步长.结果 60例患者中男40例、女20例,年龄30~59岁,平均(43.7±8.1)岁.治疗后,两组BBS评分均较治疗前提高,且试验组BBS评分高于对照组[(43.31±3.91)分比(41.21±4.23)分];两组10-MWT较治疗前时间缩短,其中试验组10-MWT短于对照组[26.24±7.36)s比(32.93±8.03)s];两组步频、步速和跨步长较治疗前提高,与对照组相比,试验组步频较高[(75.46±13.31)步/min比(68.34±12.41)步/min]、步速较快[(0.58±0.18)m/s比(0.51±0.19)m/s]和跨步较长[(0.64±0.21)m比(0.53±0.19)m],差异均有统计学意义(P<0.05).结论 与口头指示患者步行训练相比,结合RAS的步行训练可以提高大脑前循环卒中偏瘫患者的平衡功能和步行能力.
Effects of rhythmic auditory stimulation on balance function and walking function of hemiplegia patients with anterior cerebral circulation stroke
Objective To explore the effects of rhythmic auditory stimulation(RAS)on balance function and walking function of hemiplegia patients with anterior cerebral circulation stroke.Methods A total of 60 hemiplegia patients with anterior cerebral circulation stroke who were hospitalized in the Department of Neurorehabilitation,China Rehabilitation Research Center from September 2022 to July 2023 were selected,and were divided into experimental group and control group by the random number table method,with 30 cases in each group.The experimental group received RAS walking training on the basis of routine rehabilitation training,while the control group received verbal instruction of walking training,with 15 min/d,five days per week for four weeks.Berg balance scale(BBS),10-meter walk test(10-MWT)and GaitWatch three-dimensional gait analyzer were used to compare the balance function,walking function,pace,pace frequency and stride length of the two groups before and after training.Results Among the 60 patients,40 were males and 20 were females,aged from 30 to 59 years,with an average age of(43.7±8.1)years.After treatment,the BBS scores of both groups were higher than those before treatment,and the BBS score of the experiment group was higher than that of the control group[(43.31±3.91)points vs.(41.21±4.23)points,P<0.05].After treatment,the 10-MWT time of the two groups after treatment was shorter than that before treatment,and the 10-MWT time of experimental group was shorter than that of control group[(26.24±7.36)s vs.(32.93±8.03)s,P<0.05].After treatment,the step frequency,gait speed and stride length of both groups were improved compared with those before treatment,and compared with the control group,the step frequency of the experimental group was higher[(75.46±13.31)step/min vs.(68.34±12.41)step/min],gait speed was faster[(0.58±0.18)m/s vs.(0.51±0.19)m/s]and stride length was longer[0.64±0.21)m vs.(0.53±0.19)m],the differences were statistically significant(P<0.05).Conclusions Compared with verbal instruction of walking training,training combined with RAS can improve the balance function and walking ability in hemiplegia patients with anterior cerebral circulation stroke.

anterior cerebral circulation strokehemiplegiarhythmic auditory stimulation(RAS)balancing functionwalking function

何学金、张通

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100068 北京,首都医科大学康复医学院

大脑前循环卒中 偏瘫 节律性听觉刺激 平衡功能 步行功能

2024

北京医学
中华医学会北京分会

北京医学

CSTPCD
影响因子:0.714
ISSN:0253-9713
年,卷(期):2024.46(11)