TREADMILL TRAINING WITH PARTIAL BODY-WEIGHT SUPPORT COMPARED WITH PHYSIOTHERAPY IN NONAMBULATORY HEMIPARETIC PATIENTS

TREADMILL TRAINING WITH PARTIAL BODY-WEIGHT SUPPORT COMPARED WITH PHYSIOTHERAPY IN NONAMBULATORY HEMIPARETIC PATIENTS
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DOI:
10.1161/01.str.26.6.976
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发表时间:
1995-06-01
期刊:
影响因子:
8.3
通讯作者:
MAURITZ, KH
MAURITZ, KH
中科院分区:
医学1区
文献类型:
--
作者:
HESSE, S;BERTELT, C;MAURITZ, KH

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背景与目的部分体重支撑的跑步机训练是脑卒中患者步态康复的一种新方法。该研究旨在研究其与常规物理治疗中步态训练对慢性偏瘫非活动患者的疗效。方法采用A-B-A单例研究设计,对7例非卧床偏瘫患者进行跑步机训练加部分体重支持(A)与基于Bobath概念(B)的物理治疗进行比较。卒中后最短间隔为3个月,每个治疗期持续3周。变量包括通过功能行走分类评估的步态能力,Rivermead运动评估测试的其他运动功能,运动指数评估的肌肉力量,改良Ashworth痉挛量表评估的肌肉张力,以及步态周期参数。结果跑步机训练对步态能力的恢复更有效(P
Background and Purpose Treadmill training with partial body weight support is a new and promising therapy in gait rehabilitation of stroke patients. The study intended to investigate its efficiency compared with gait training within regular physiotherapy in nonambulatory patients with chronic hemiparesis.Methods An A-B-A single-case study design compared treadmill training plus partial body weight support (A) with physiotherapy based on the Bobath concept (B) in seven nonambulatory hemiparetic patients. The minimum poststroke interval was 3 months, and each treatment phase lasted 3 weeks. Variables were gait ability assessed by the Functional Ambulation Category, other motor functions tested by the Rivermead Motor Assessment, muscle strength assessed by the Motricity Index, muscle tone rated by the Modified Ashworth Spasticity Scale, and gait cycle parameters.Results Treadmill training was more effective with regard to restoration of gait ability (P