步态中枢模式发生器对脑卒中偏瘫患者步行能力的影响

目的:探讨步态中枢模式发生器对脑卒中偏瘫患者步行能力的影响。方法:将80例脑卒中偏瘫患者随机分为治疗组(观察组)40例和对照组40例,两组患者均采用常规康复方法进行治疗,观察组还另外采用激活步态中枢模式发生器(CPG)的运动训练方法。两组患者总疗程均为1个月。分别在康复治疗前后采用Fugl-Meyer下肢运动功能量表(FMA)、改良Ashworth量表(MAS)、Holden步行功能分级量表(FAC)进行评定,同时选用足印分析法测量并记录步行时的时间距离参数的变化,分析步态的改善情况。结果:患者经过激活步态CPG的运动训练方法训练后,其FMA、FAC评分与治疗前相比差异有显著性意义(P<0.05),步行时间距离各参数也均有不同程度的改善(P<0.05)。结论:激活步态CPG的运动训练方法能提高脑卒中偏瘫患者的下肢运动功能和实际步行能力,改善步行的步态。

The effect of gait central pattern generators on walking function of stroke patients

Abstract Objective:To explore the effect of gait central pattern generators on walking function of stroke patients. Method: Eighty stroke patients were randomly assigned to the treatment group (observation group, 40 cases) and the control group (40 cases).All the patients were treated with rehabilitation training. In addition, observation group adopted the activation of gait central pattern generators(CPG) training. The total course of 2 groups were 1 month.Patients were assessed with lower extremity Fugl-Meyer motor function scale(FMA), modified Ashworth scale(MAS), Holden walking function rating scale (FAC) before and after rehabilitation treatment.At the same time, footprint analysis was used to measure and record the time and distance parameters of walking. The improvement of gait was analysed. Result: Compared to before, after the activation of gait CPG training, there were significant differences of FMA, FAC scores(P<0.05), there were different degrees of improvement in time and distance parameters of walking(P<0.05). Conclusion:The activation of gait CPG training can raise the lower extremity motor function as well as the practical walking ability, and improve the walking gait of stroke patients.