减重步态训练结合川平法对卒中后偏瘫患者日常生活活动能力、肌张力分级及痉挛程度的影响
Effects of body weight support gait training combined with Repetitive Facilitative Exercise on ac-tivities of daily living,muscle tension grading and spasticity in patients with hemiplegia after stroke
韩高科1
作者信息
- 1. 驻马店市中心医院(河南驻马店 463000)
- 折叠
摘要
目的 探讨减重步态训练结合川平法对卒中后偏瘫患者日常生活活动能力、平衡能力、肌张力分级及痉挛程度的影响.方法 选取2019年4月至2021年6月我院收治的168例卒中后偏瘫患者为对象,随机分为观察组与对照组,其中84例观察组患者给予减重步态训练结合川平法治疗,84例对照组患者给予减重步态训练治疗.比较两组患者日常生活活动能力、肌张力分级及痉挛程度.结果 两组患者治疗后ADL评分与BBS平衡能力评分均升高(P＜0.05),且观察组患者ADL评分(71.52±6.56)分、BBS平衡能力评分(42.65±4.57)分显著高于对照组患者(62.49±6.38)分与BBS平衡能力评分(36.28±4.80)分(P＜0.05);治疗后两组患者肌张力分级比较,观察组患者上、下肢肌张力明显优于对照组(P＜0.05);治疗后两组患者上、下肢MAS评分均降低(P＜0.05),且观察组患者上、下肢MAS评分分别为(2.34±0.46)分、(1.78±0.77)分显著低于对照组患者上肢(3.11±0.56)分、下肢(2.64±0.86)分(P＜0.05).结论 减重步态训练结合川平法能有效提高脑卒中后偏瘫患者日常生活活动能力与平衡能力,改善肌张力分级及痉挛程度,疗效确切,值得临床推广应用.
Abstract
Objective To investigate the effect of body weight support gait training combined with Repetitive Facilita-tive Exercise(RFE)on activities of daily living,muscle tension grade and spasticity in patients with hemiplegia after stroke.Methods One hundred and sixty-eight patients with hemiplegia after stroke admitted to our hospital from April 2019 to June 2021 were randomly divided into an observation group(n=84)treated with body weight support gait training combined with REF method and a control group(n=84)treated with body weight support gait training.Activities of daily living,bal-anced capacity,muscle tension grade and spasticity were compared between the two groups.Results After treatment,ADL score and BBS balance ability score increased in both groups(P＜0.05),and ADL score[(71.52±6.56)points]and BBS balance capacity score[(42.65±4.57)points]in the observation group were significantly higher than those in the control group[(62.49±6.38)points,(36.28±4.80)points](P＜0.05).After intervention,the muscle tension of upper and low-er limbs in the observation group was significantly better than that in the control group(P＜0.05).After treatment,the MAS scores of the upper and lower limbs of the two groups were decreased(P＜0.05),and the MAS scores of the upper and low-er limbs of the observation group were(2.34±0.46)points and(1.78±0.77)points,respectively,which were significantly lower than those[(3.11±0.56)points,(2.64±0.86)points]of the control group(P＜0.05).Conclusion Body weight support gait training combined with RFE can effectively improve the activities of daily living,balanced capacity,muscle ten-sion grade and spasticity of patients with hemiplegia after stroke,with significant efficacy.It is worthy of clinical application.
关键词
减重步态训练/川平法/卒中后偏瘫/日常生活活动能力/肌张力分级/痉挛程度Key words
Body weight support gait training/Repetitive facilitative exercise/Post-stroke hemiplegia/Activities of daily living/Muscle tension grading/Degree of spasticity引用本文复制引用
出版年
2024
NETL
NSTL
万方数据