首页|视反馈步态分析训练对急性脑梗死后偏瘫患者肢体功能恢复的影响

视反馈步态分析训练对急性脑梗死后偏瘫患者肢体功能恢复的影响

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目的 探讨视反馈步态分析训练对急性脑梗死后偏瘫患者肢体功能恢复的康复效果.方法 纳入2021年5月-2023年5月河南科技大学第一附属医院收治的急性脑梗死后偏瘫患者86例,根据随机数字表法分为观察组和对照组,各43例.两组均给予常规康复训练,观察组同时给予视反馈步态分析训练,均8周.比较两组干预前后运动功能、平衡能力、姿势控制能力、起立-行走测试时间、步态参数.结果 干预后,两组Fugl-Meyer下肢肢体运动功能评分(FMA)、5次坐立测试(FTSST)、起立-行走测试时间(TUGT)及步行周期、步长偏差、患健侧支撑比值、患健侧摆动比值均降低,且观察组评分低于对照组(P<0.05);干预后,两组Berg平衡评分(BBS)、步速、步频均升高,且观察组评分高于对照组(P<0.05).结论 视反馈步态分析训练可促进急性脑梗死后偏瘫患者运动功能恢复,增强平衡功能、坐-站转移能力,改善偏瘫导致的步态异常.
Effect of visual feedback gait analysis training on limb function recovery in hemiplegic patients after acute cerebral infarction
Objective To explore the rehabilitation effect of visual feedback gait analysis training on limb function recovery in hemiplegic patients after acute cerebral infarction.Methods A total of 86 hemiplegic patients after acute cerebral infarction admitted to The First Affiliated Hospital of Henan University of Science and Technology from May 2021 to May 2023 were enrolled and divided into an observation group and a control group with 43 patients in each group based on a random number table method.Both groups received routine rehabilitation training,while the observation group also received visual feedback gait analysis training for 8 weeks.The motor function,balance ability,posture control ability,time up and go test(TUGT),and gait parameters were compared between the two groups be-fore and after intervention.Results After intervention,the Fugl-Meyer lower limb motor function score(FMA),five-times sit-to-stand test(FTSST),time up and go test(TUGT),walking cycle,step length deviation,ratio of affected to healthy side support,and ratio of affected to healthy side swing were decreased in both groups,with the observation group having lower scores than the control group(P<0.05).After intervention,the Berg balance scale(BBS),walking speed,and step fre-quency were increased in both groups,with the observation group having higher scores than the con-trol group(P<0.05).Conclusion Visual feedback gait analysis training can promote the recovery of motor function,enhance balance function and sit-to-stand transfer ability,and improve gait abnormali-ties caused by hemiplegia in hemiplegic patients after acute cerebral infarction.

Acute cerebral infarctionHemiplegiaVisual feedback gait analysis trainingLimb function

张言凯、张昕、周阳

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河南科技大学第一附属医院 河南洛阳 471000

急性脑梗死 偏瘫 视反馈步态分析训练 肢体功能

2024

华北理工大学学报(医学版)
河北联合大学

华北理工大学学报(医学版)

影响因子:0.569
ISSN:2095-2694
年,卷(期):2024.26(6)