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目的探讨爬行运动训练(CET)对脑卒中患者偏瘫侧下肢功能的影响。方法将56例脑卒中偏瘫患者随机平均分为常规康复训练(RRT)治疗组(n=28)和爬行运动训练(CET)治疗组(n=28),爬行运动训练治疗组在常规康复训练的基础上加入爬行运动训练进行治疗。RRT组采用常规康复训练治疗6周、CET组采用常规康复训练+爬行运动训练治疗6周。所选取患者在治疗前后均采用改良Ashworth量表(MAS)评分、Fugl-Meyer下肢运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的下肢运动功能。爬行训练治疗每日一次,每次45min,每周训练6次,连续治疗6周。结果治疗6周后CET组较治疗前均有明显改善(P<0.05),RRT组较治疗前也均有改善(P<0.05),RRT组与CET组相比,CET组治疗效果较RRT组更加明显(P<0.05),差异均有统计学意义。结论爬行运动训练对改善脑卒中患者偏瘫侧下肢功能具有明显的临床效果。
Objective To investigate the effect of CET training on the function of the lower limbs in hemiparetic patients with stroke. Methods Fifty-six stroke patients with hemiplegia were randomly divided into two groups: normotensive rehabilitation (RRT) group (n = 28) and creeping exercise group (n = 28) On the basis of adding crawling training for treatment. The RRT group was treated with routine rehabilitation training for 6 weeks. The CET group was treated with routine rehabilitation training and crawling training for 6 weeks. The selected patients before and after treatment were assessed by modified Ashworth scale (MAS) score, Fugl-Meyer lower extremity motor function score (FMA) and modified Barthel Index (MBI) assessment of lower extremity motor function. Crawling training treatment once a day, each 45min, 6 times a week training, continuous treatment for 6 weeks. Results The CET group improved significantly (P <0.05) 6 months after treatment and the RRT group improved compared with that before treatment (P <0.05). Compared with CET group, CET group had better therapeutic effect than CET group More obvious (P <0.05), the differences were statistically significant. Conclusion Creeping exercise training has obvious clinical effect on improving hemiplegic lateral leg function in patients with stroke.