中国康复2012，Vol.27Issue(4)：263-265,3.DOI:10.3870/zgkf.2012.04.008
不同体位下肢被动踏踩训练对脑卒中下肢痉挛的影响
Effect of passive stepping of lower limbs in two different positions on spasticity of lower extremities in stroke patients
王盛 1王翔 1罗予 1卞荣 1顾绍华 1吴玉霞 1周秋敏 1王彤1
作者信息
- 1. 江苏省人民医院康复医学科,南京2100292
- 折叠
摘要
Abstract
Objective: To study the effect of passive stepping of lower limbs in two different positions on spasticity of lower hemiplegia extremities in stroke patients. Methods: Sixty-six stroke patients were randomly divided into the vertical (n=35) and sitting (n=31) passively stepping training groups. Both groups received conventional rehabilitation, and the passively stepping in the sitting or upright positions. The muscle (triceps surae, quadriceps and hamstrings ) of each group was assessed with the Modified Ashworth Scale before, 30 min and 4 weeks after training. Results: Thirty min after training, the Modified Ashworth scores of the triceps surae in both groups were decreased significantly (P<0. 05). There was no significant difference between two groups. Four weeks after training, the scores of all muscles in two groups except quadriceps in sitting group were decreased obviously (P<0. 05). The scores of triceps surae in vertical group were decreased more significantly than those of sitting group (P<0.05). Conclusion: Both positioned training could relieve the muscle spasticity of hemiplegic lower limbs in stroke patients, and passive stepping training in upright position had better effect in alleviating the spasticity of triceps surae muscle.关键词
踏踩训练/体位/脑卒中/痉挛Key words
stepping training/ position/ stroke/ spasticity分类
医药卫生引用本文复制引用
王盛,王翔,罗予,卞荣,顾绍华,吴玉霞,周秋敏,王彤..不同体位下肢被动踏踩训练对脑卒中下肢痉挛的影响[J].中国康复,2012,27(4):263-265,3.
