基于现实环境的功能性训练对慢性期脑卒中患者的步行和平衡功能的影响

被引：28

作者：

朱经镇 ^{[1
]}

邹智 ^{[2
]}

王秋纯 ^{[1
]}

张涧 ^{[1
]}

周元 ^{[1
]}

陈红霞 ^{[1
]}

王婷 ^{[1
]}

机构：

[1] 广东省中医院

[2] 香港理工大学

来源：

中国康复医学杂志 | 2014年 / 29卷 / 05期

关键词：

脑卒中; 慢性期; 功能性训练; 行走; 平衡;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）]; R493 [医学康复（康复疗法）];

学科分类号：

100204 [神经病学]; 100232 [康复医学];

摘要：

目的:探讨基于现实环境的功能性训练对慢性期脑卒中患者的步行与平衡功能的影响。方法:将21例符合纳入标准的慢性期脑卒中患者随机分为试验组(10例)和对照组(11例)。试验组患者在常规治疗区内的任务导向性训练的基础上进行基于现实环境的功能性训练;对照组患者进行常规治疗区内的任务导向性训练。两组患者的训练均为40min/次,2次/d,5d/周,共治疗8周。在治疗前及治疗进行的第4周和第8周采用10m步行测试、Berg平衡量表测试、6min步行测试和功能性移动分级对患者进行评估。结果:在第4周及第8周的评估中,除对照组患者在第4周的功能性移动分级外,两组患者的各项评分均较治疗前有显著提高(P<0.05)。在第4周的评分中两组患者的各项评分差异均无显著性意义(P>0.017);在第8周的评估中试验组患者的除功能性移动分级评分外其余3项评估的分值均显著高于对照组(P<0.017)。结论:对于慢性期脑卒中患者,基于现实环境的功能性训练比常规治疗区内的任务导向性训练能更有效的改善其步速、平衡和行走距离,促进患者回归家庭,融入社区。

引用

页码：427 / 432

页数：6

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