Body weight supported treadmill training versus traditional training in patients dependent on walking assistance after stroke: a randomized controlled trial
Body weight supported treadmill training versus traditional training in patients dependent on walking assistance after stroke: a randomized controlled trial
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DOI：
10.3109/09638288.2011.593681
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发表时间：
2012-01-01
影响因子：
2.2
通讯作者：
Strand, Liv Inger
中科院分区：
文献类型：
--
作者：
Hoyer, Ellen;Jahnsen, Reidun;Strand, Liv Inger
目的：带体重支持的跑步机训练(TTBWS)用于脑损伤后再学习步行能力是目前研究的一种方法。这种方法超越传统训练的有效性缺乏证据，特别是在中风后需要步行辅助的患者中。本研究的目的是调查步行和转移能力的变化，并将TTBWS与传统步行训练进行比较。方法：采用单盲随机对照试验。将60例接受多学科一级康复治疗的患者随机分为两组，一组接受TTBWS加传统训练30次，另一组仅接受传统训练。每日训练1小时。结果：功能步行分类(FAC)、步行、功能独立性测量(FIM)；较短的转移和楼梯、10m和6min步行试验。结果：经过5周和11周的干预后，两组患者的行走和转移能力均有显著改善。总体而言，两组之间没有发现统计上的显著差异，但17项体力测量中有12项倾向于显示出有利于跑步机方法的改善。结论：两种训练策略在测试活动中均有显著改善，表明通过系统的、强化的和目标定向的训练，两种训练方式可以获得相似的结果。
Purpose: Treadmill training with body weight support (TTBWS) for relearning walking ability after brain damage is an approach under current investigation. Efficiency of this method beyond traditional training is lacking evidence, especially in patients needing walking assistance after stroke. The objective of this study was to investigate change in walking and transfer abilities, comparing TTBWS with traditional walking training. Methods: A single-blinded, randomized controlled trial was conducted. Sixty patients referred for multi-disciplinary primary rehabilitation were assigned into one of two intervention groups, one received 30 sessions of TTBWS plus traditional training, the other traditional training alone. Daily training was 1 hr. Outcome measures were Functional Ambulation Categories (FAC), Walking, Functional Independence Measure (FIM); shorter transfer and stairs, 10 m and 6-min walk tests. Results: Substantial improvements in walking and transfer were shown within both groups after 5 and 11 weeks of intervention. Overall no statistical significant differences were found between the groups, but 12 of 17 physical measures tended to show improvements in favour of the treadmill approach. Conclusions: Both training strategies provided significant improvements in the tested activities, suggesting that similar outcomes can be obtained in the two modalities by systematic, intensive and goal directed training.