Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison
Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary comparison
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DOI：
10.1046/j.1468-1331.2002.00492.x
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发表时间：
2002-11-01
影响因子：
5.1
通讯作者：
Hesse, S
中科院分区：
文献类型：
--
作者：
Werner, C;Bardeleben, A;Hesse, S
跑步机训练加部分体重支持可恢复慢性卧床偏瘫患者的步态能力。物理治疗和跑步机训练相结合可以加快恢复速度。因此，计划进行一项随机研究。28例偏瘫患者随机分为A、B组。常规治疗3周后，A组患者接受15次物理治疗和跑步机训练，B组患者接受15次跑步机训练，为期3周。随访4个月。主要结果变量为步态能力和地面行走速度。步态能力和速度在基线期间没有变化。B组中有5例患者在特定干预后恢复了独立行走能力，而A组同期有10例患者恢复了独立行走能力（P < 0.05）。四个月后，群体差异已经减弱。3周跑台训练加物理治疗加速了偏瘫受试者步态能力的恢复，然而，A组治疗量的加倍并不排除单纯的剂量反应现象。
Treadmill training with partial body weight support can restore the gait ability of chronic non-ambulatory hemiparetic subjects. A combination of physiotherapy and treadmill training may accelerate the rate of recovery. Therefore a randomized study was planned. Twenty-eight non-ambulatory hemiparetic patients were randomly assigned to group A or B. A 3-week baseline of conventional therapy was followed by 15 sessions of physiotherapy and treadmill training in patients of group A and by 15 sessions of treadmill training in patients of group B over a period of 3 weeks. Followup was 4 months later. The major outcome variables were gait ability and ground level walking velocity. Gait ability and velocity did not change during the baseline. In group B, five patients became independent walkers after the specific intervention, whereas 10 patients of group A regained independent walking ability in the same period ( P < 0.05). Four months later group differences had waned. Three weeks of treadmill training plus physiotherapy accelerated the restoration of gait ability in hemiparetic subjects, however, the double amount of therapy in group A does not exclude a simple dose response phenomenon.