早期双下肢交替屈伸运动及姿势管理对脑卒中患者偏瘫步态临床作用的研究

发布时间：2018-01-19 09:31

本文关键词： 脑卒中双下肢交替屈伸运动姿势管理偏瘫步态　出处：《青海大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：研究脑卒中早期双下肢交替屈伸运动及姿势管理对偏瘫步态及下肢运动功能的临床疗效。方法：选取44例患者分为两组，对照组20例，试验组24例，生命体征较平稳，病情不再加重，无严重意识障碍，肌力均在3级以下，进行康复训练前行FAC评分（Holden步行能力分级）和Fugl-Meyer评分（下肢部分）后行康复训练,试验组增加仰卧位双下肢交替屈伸训练,每日两次,每次进行10分钟左右，，并进行全程姿势管理。一月后对每一个患者进行步行参数测量（步长、步宽、步行速度）、Holden步行能力分级及Fugl-Meyer功能（下肢）评分分别进行评定。结果：两组中的每一位患者在给予一个月的康复治疗后进行评估，患者治疗前、后FAC评分和Fugl-Meyer评分比较差异均有统计学意义（P＜0.001），且康复后的评分在两组患者的比较也有统计学意义（FAC评分P＜0.05，Fugl-Meyer评分P＜0.001）。在步行各指标对比中，试验组各指标明显好于对照组（分别为P＜0.05，P＜0.05,P＜0.001），与目测结果亦符合。结论：脑卒中早期双下肢交替屈伸运动及姿势管理较单纯常规康复治疗能更好的减轻偏瘫步态、促进下肢运动功能恢复。
[Abstract]:Objective: to study the clinical effect of alternating flexion and extension movement and postural management in early stage of stroke on hemiplegic gait and lower extremity motor function. Methods: 44 patients were divided into two groups: control group (n = 20) and experimental group (n = 24). The FAC score and Fugl-Meyer score (lower extremity part) before rehabilitation training were followed by rehabilitation training. The experimental group increased the supine position lower limbs alternately flexion and extension training, twice a day, each time for about 10 minutes, and carried on the entire posture management. After January, each patient was measured the walking parameters (step length, step width). The walking speed was evaluated by Holden's walking ability grading and Fugl-Meyer 's function (lower extremity) score. Results: each patient in both groups was evaluated after one month of rehabilitation, before treatment. The difference of FAC score and Fugl-Meyer score was statistically significant (P < 0.001). The scores after rehabilitation were also statistically significant (P < 0.05) and Fugl-Meyer score (P < 0.001) in the two groups. The indexes in the test group were significantly better than those in the control group (P < 0.05), P < 0.05 (P < 0.05) and P < 0.001 (P < 0.001) respectively, which were in agreement with the visual test results. Conclusion: in the early stage of stroke, alternating flexion and extension of lower extremities and postural management can reduce the gait of hemiplegia and promote the recovery of motor function of lower extremities.
【学位授予单位】：青海大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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