早期卧位功率性自行车训练对格林巴利患者步行能力的影响

摘要

Objective:To observe the effects of horizontal power bicycle training on the walking ability of patients with Guillain-Barre syndrome in sub-acute period.Method:Thirty sub-acute Guillain-Barre syndrome patients were randomly divided into two groups as observation group and control group (n = 1 5 each).The patients in control group were treated only with routine rehabilitation training,and those in observation group received horizontal power bicycle training based on routine rehabilitation treatment.All patients were assessed with Berg balance scale (BBS), manual muscle test of lower limbs (MMT),assessment on ambulation capacity (walking time for 10 m and walking distance in 6 mins,Holden′s functional ambulance classification),and the ability of activities in daily living (ADL),at the time of beginning and 4 weeks later.Result:After 4-week treatment,the balance performance,muscle strength of lower limbs,and ADL in two groups were improved significantly as compared with those before treatment (P <0.05),more significantly in observation group than in control group (P <0.05).Conclusion:Horizontal power bicy-cle training can improve the walking ability of patients with Guillain-Barre syndrome in sub-acute period.%目的：：观察早期卧位功率性自行车训练对格林巴利患者步行能力的影响。方法：格林巴利患者30例随机分为2组各15例,对照组采用常规康复训练,观察组在此基础上增加卧式功率性自行车踩踏训练。治疗前后评定2组患者的平衡功能(BBS)、日常生活能力评分(MBI)、下肢徒手肌力检查(MMT)、步行能力(10m 步行时间,6min步行距离)及 Holden 步行功能。结果：治疗4周后,2组患者的 MBI ﹑肌力﹑ BBS 评分及步行能力均较治疗前明显提高(P <0.05),且观察组更高于对照组(P <0.05)。结论：卧位功率性功率性自行车训练能有效改善亚急性期格林巴利综合症患者的步行能力。