脑卒中偏瘫患者水中平板步行训练疗效的初步观察

摘要

Objective To investigate the effect of underwater treadmill training (UWTT) on patients with hemiplegia after stroke. Methods Based on routine rehabilitation, 15 hemiplegic patients after stroke were treated with UWTT system 20 min/d, 5 times a week for 4 weeks. Walking distance and speed in water were tested before and after UWTT. Dynamic balance function and static balance function were also assessed by Active Balancer assessment. Results All the items improved significantly after treatment (P<0.01), except deflection center displacement of X and Y axis (.P>0.05). Conclusion UWTT can improve the walking ability and balance function of hemiplegic patients after stroke.%目的 观察水中平板步行训练对脑卒中偏瘫患者的康复治疗作用.方法 在常规康复训练基础上,利用水中步行运动系统对15例脑卒中偏瘫患者进行训练,20 mir/d,5/周,共训练4周.治疗前后利用平衡测试仪评定健侧下肢负重时间、患侧下肢负重时间、睁眼及闭眼时重心移动总轨迹长、重心移动面积、重心X轴及Y轴偏移、稳定极限范围及到达目标总时间.并比较水中步行距离及最大步速的变化.结果 经过4周的训练,患者水中行走距离、最大步速、健肢及患肢负重时间显著提高(P＜0.001)；睁、闭眼重心移动总轨迹长和重心移动面积显著减小(P＜0.001)；稳定极限范围显著扩大(P＜0.001)；到达目标总时间明显缩短(P＜0.01)；重心X轴及Y轴偏移无明显变化(P＞0.05).结论 水中平板步行训练可提高脑卒中偏瘫患者平衡功能及步行能力.