Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation
Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation
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DOI：
10.1016/s0022-510x(97)00146-9
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发表时间：
1997-10-22
影响因子：
4.4
通讯作者：
Rice, RR
中科院分区：
文献类型：
--
作者：
Thaut, MH;McIntosh, GC;Rice, RR
试验组和对照组各10例偏瘫中风患者接受为期6周、每天两次的步态训练。对照组参加了常规的物理治疗步态程序。实验组在相同的基础训练方案中加入节律性听觉刺激(RAS)。患者在手持辅助下可以完成5步后尽快进入研究。训练计划必须在患者中风后3个月内完成。在实验组中，RAS被用作计时器，以同步步型并逐渐引入更高的步频。研究组按性别、病变部位和年龄等同。前测时采用Barthel、Fugl-Meyer和Berg量表评定运动功能。在没有RAS存在的情况下，在测试前后评估步行模式。测试前后比较，差异有统计学意义(P<0.05)。
Experimental and control groups of 10 hemiparetic stroke patients each underwent a 6 week, twice daily gait training program. The control group participated in a conventional physical therapy gait program. The experimental group trained in the same basic program with the addition of rhythmic auditory stimulation (RAS). Patients entered the study as soon as they could complete 5 strides with hand-held assistance. The training program had to be completed within 3 months of the patients' stroke. In the experimental group RAS was used as a timekeeper to synchronize step patterns and gradually entrain higher stride frequencies. Study groups were equated by gender, lesion site, and age. Motor function was assessed at pretest using Barthel, Fugl-Meyer, and Berg Scales. Walking patterns were assessed during pre-and post-test without RAS present. Pre-vs post-test measures revealed a statistically significant (P