绳带疗法对偏瘫患者步态和生活质量的疗效观察
|
摘要
[目的]观察运用绳带疗法对改善脑卒中偏瘫患者的步态和生活质量的临床疗效。[方法]60例脑卒中偏瘫患者随机分为观察组和对照组,对照组仅接受常规的康复治疗,观察组在常规康复治疗中的站立及平衡训练、迈步及行走等训练时加以绳带对偏瘫患者的躯干、髋、膝、踝进行捆绑,来保持整体的对称和抗重力伸展。治疗前后分别用步态参数、偏瘫患者下肢运动功能评定Fugl-Meyer量表(Fugl-Meyer Assessment,FMA)、Berg平衡量表(Berg balance scale,BBS)及改良的Barthel指数(modified Barthel index,MBI)评分进行评估。[结果]观察组患者在治疗后的步态参数、下肢的运动功能及整体的平衡较治疗前有明显提高(P<0.05),治疗后观察组患者的MBI、下肢的Fugl-Meyer量表评分与对照组相比有显著改善(P<0.05)。[结论]应用绳带疗法可以显著提高偏瘫患者的步行能力和生活质量。
[Objective] To observe the clinical efficacy of rope belt therapy in improving the gait and quality of life of hemiplegic patients with cerebral apoplexy. [Methods] 60 patients with hemiplegia were randomly divided into observation group and control group.The control group received only conventional rehabilitation. Observation group in the conventional rehabilitation standing and balance training, step and walking training, such as rope in patients with hemiplegia bound trunk, hip, knee, ankle, to maintain the overall symmetric and anti gravity stretch. The fugl-meyer scale, the balance scale(Berg) and the improved Barthel index score were evaluated by gait parameters and lower limb motion function of hemiplegic patients before and after treatment.[Results] The gait parameters, movement function and overall balance of the patients in the observation group were significantly improved after treatment(P <0.05).After treatment, the scores of MBI and lower limb fugl-meyer scale were significantly improved compared with the control group( P <0.05).[Conclusion] The application of rope therapy can significantly improve the walking ability and quality of life of hemiplegic patients.
[Objective] To observe the clinical efficacy of rope belt therapy in improving the gait and quality of life of hemiplegic patients with cerebral apoplexy. [Methods] 60 patients with hemiplegia were randomly divided into observation group and control group.The control group received only conventional rehabilitation. Observation group in the conventional rehabilitation standing and balance training, step and walking training, such as rope in patients with hemiplegia bound trunk, hip, knee, ankle, to maintain the overall symmetric and anti gravity stretch. The fugl-meyer scale, the balance scale(Berg) and the improved Barthel index score were evaluated by gait parameters and lower limb motion function of hemiplegic patients before and after treatment.[Results] The gait parameters, movement function and overall balance of the patients in the observation group were significantly improved after treatment(P <0.05).After treatment, the scores of MBI and lower limb fugl-meyer scale were significantly improved compared with the control group( P <0.05).[Conclusion] The application of rope therapy can significantly improve the walking ability and quality of life of hemiplegic patients.
引文
[1] Candelise L, Gattinoni M, Bersano A, et al.Stroke-unitcare for acute stroke patients:an observational follow-upstudy[J].Lancet, 2007, 369(9558):299-305.
[2] Langhorne P, Coupar F, Pollock A.Motor recovery afterstroke:a systematic review[J].Lancet Neurol,2009,8(8):741-754
[3]中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):146-153.
[4]李岩,陈迎春,顾旭东,等.功能性电刺激结合减重平板训练对脑卒中患者步行及步态的影响[J].中国康复医学杂志,2016,31(1):83-85.
[5]陈瑞全,吴建贤,沈显山.中文版fugl-meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报, 2015, 50(4):519-522.
[6]张海娟,叶璐,郑小波.ADL评定改良巴氏指数评价表在高干病房中的应用[J].中国老年保健医学,2014,12(5):113-114.
[7]何惠燕.早期电动起立床站立训练对脑梗死偏瘫患者的临床价值[J].中国现代药物运用,2015,22(9):269-270.
[8]王伟芳.序贯疗法治疗急性缺血性脑血管病的疗效观察[J].中国实用医刊,2016,43(5):64-65.
[9]龙耀斌.MOTOmed智能运动训练系统对脑卒中偏瘫患者步态改善的作用[J].中国康复医学杂志,2012,27(5):363-364.
[10]徐文玉,丁泉涌,苏玉萍,等.步行训练的时机选择对偏瘫患者康复疗效的影响[J].中华老年心脑血管病杂志,2013, 15(1):64.
[11]张俊华,邱桂才,于明,等.绳带捆绑技术在脑梗死偏瘫患者康复治疗中的运用[J].中国全科医学,2016,26(12):3227-3230.
[12]刘鹏程.绳带疗法对脑卒中患者恢复期步行功能的疗效观察[J].中国康复,2017,32(6):459-461.
[2] Langhorne P, Coupar F, Pollock A.Motor recovery afterstroke:a systematic review[J].Lancet Neurol,2009,8(8):741-754
[3]中华医学会神经病学分会脑血管病学组急性缺血性脑卒中诊治指南撰写组.中国急性缺血性脑卒中诊治指南2010[J].中华神经科杂志,2010,43(2):146-153.
[4]李岩,陈迎春,顾旭东,等.功能性电刺激结合减重平板训练对脑卒中患者步行及步态的影响[J].中国康复医学杂志,2016,31(1):83-85.
[5]陈瑞全,吴建贤,沈显山.中文版fugl-meyer运动功能评定量表的最小临床意义变化值的研究[J].安徽医科大学学报, 2015, 50(4):519-522.
[6]张海娟,叶璐,郑小波.ADL评定改良巴氏指数评价表在高干病房中的应用[J].中国老年保健医学,2014,12(5):113-114.
[7]何惠燕.早期电动起立床站立训练对脑梗死偏瘫患者的临床价值[J].中国现代药物运用,2015,22(9):269-270.
[8]王伟芳.序贯疗法治疗急性缺血性脑血管病的疗效观察[J].中国实用医刊,2016,43(5):64-65.
[9]龙耀斌.MOTOmed智能运动训练系统对脑卒中偏瘫患者步态改善的作用[J].中国康复医学杂志,2012,27(5):363-364.
[10]徐文玉,丁泉涌,苏玉萍,等.步行训练的时机选择对偏瘫患者康复疗效的影响[J].中华老年心脑血管病杂志,2013, 15(1):64.
[11]张俊华,邱桂才,于明,等.绳带捆绑技术在脑梗死偏瘫患者康复治疗中的运用[J].中国全科医学,2016,26(12):3227-3230.
[12]刘鹏程.绳带疗法对脑卒中患者恢复期步行功能的疗效观察[J].中国康复,2017,32(6):459-461.