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崔贵祥,宋成忠,岳寿伟.功率自行车运动对亚急性期脑卒中偏瘫患者步行能力和日常生活活动能力的影响[J].中国康复医学杂志,2009,24(6):530~532
功率自行车运动对亚急性期脑卒中偏瘫患者步行能力和日常生活活动能力的影响    点此下载全文
崔贵祥  宋成忠  岳寿伟
山东大学齐鲁医院康复医学科,济南,250012
基金项目:
DOI:
摘要点击次数: 2009
全文下载次数: 1885
摘要:
      目的:探讨功率自行车运动对亚急性期脑卒中患者步行能力的影响。方法:将具有一定步行能力的92例病程在1—3个月的脑卒中患者随机分为治疗组(46例)和对照组(46例)。对照组患者采用常规康复训练方法,治疗组在常规康复训练的基础上,增加功率车运动训练,治疗前和治疗6周后分别评定下肢运动功能(采用简化Fugl-Meyer评分)、平衡功能(Berg平衡量表)、步行能力(采用患者10m步行时间和6min内步行距离测定、Holden步行功能评定)、肌张力变化,以及日常生活活动能力(ADL)。结果:两组患者的下肢运动功能
关键词:脑卒中  功率自行车  步行能力
The effects of cycle ergometer on walking ability and ADL in hemiplegia patients after stroke    Download Fulltext
Dept. of Rehabilitation Medicine, Qilu Hospital, Shandong Univeristy,Jinan,250012
Fund Project:
Abstract:
      Objective: To investigate the effects of cycle ergometer on walking ability in hemiplegia patients after sub-acute stroke. Method: Ninety-two hemiplegic patients after stroke for 1 to 3 months with a certain walking ability were randomly divided into two groups as treatment group and control group, each 46 cases. The patients of both group were treated with routine rehabilitation training, cycle ergometer training was used additionally for the patients in treatment group. All patients were assessed with simplified Fugl-Meyer assessment(FMA), Berg balance scale(BBS), and assessment on ambulation capacity (walking time for 10m and walking distance in 6min and Holden′s functional ambulance classification), changes of spasticity and the ability of activities in daily living (ADL), at the time of beginning and 6 weeks later. Result:The motor function of lower extremity, balance performance, and ADL in two groups improved(P<0.05) after 6 weeks′ treatment, in treatment group those were better than in control group (P<0.05). The walking capability, stability and safety in both groups improved obviously. The scores of BBS, FMA and ADL in treatment group after rehabilitation training were superior to that in control group (P<0.05). Conclusion:The application of cycle ergometer combined with routine rehabilitation training improved the motor function of lower extremity, balance performance, walking ability and activities of daily living distinctly for patients after stroke.
Keywords:stroke  cycle ergometer  walking ability
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