Hesse Stefan, Werner Cordula, von Frankenberg Sophie, Bardeleben Anita
Department of Neurological Rehabilitation, Klinik Berlin, Free University, Kladower Damm 223, 14089 Berlin, Germany.
Phys Med Rehabil Clin N Am. 2003 Feb;14(1 Suppl):S111-23. doi: 10.1016/s1047-9651(02)00061-x.
Treadmill therapy with partial BWS is a promising new approach to improve gait ability after stroke. This task-specific approach enables nonambulatory patients the repetitive practice of complex gait cycles instead of single-limb gait-preparatory maneuvers. Patients walk more symmetrically with less spasticity and better cardiovascular efficiency on the treadmill than with floor walking. Several controlled, clinical studies have shown the potential of treadmill training as a therapeutic intervention for nonambulatory patients with chronic stroke-related hemiplegia. Furthermore, controlled trials in acute stroke survivors have shown that treadmill training is as effective as other physiotherapy approaches that stress the repetitive practice of gait. Controlled multicenter trials comparing locomotor training with conventional therapy will be forthcoming. An electromechanical gait trainer that relieves the strenuous effort of the therapists and provides control of the trunk in a phase-dependent manner is a new technical alternative for gait training in severely impaired stroke patients.
采用部分体重支持的跑步机疗法是一种有望改善中风后步态能力的新方法。这种针对特定任务的方法使非步行患者能够重复练习复杂的步态周期，而不是单肢步态准备动作。与在地面行走相比，患者在跑步机上行走时更加对称，痉挛程度更低，心血管效率更高。多项对照临床研究表明，跑步机训练对于患有慢性中风相关偏瘫的非步行患者具有作为治疗干预手段的潜力。此外，针对急性中风幸存者的对照试验表明，跑步机训练与其他强调步态重复练习的物理治疗方法效果相当。即将开展比较运动训练与传统疗法的对照多中心试验。一种可减轻治疗师繁重工作并以相位依赖方式控制躯干的机电步态训练器，是严重受损中风患者步态训练的一种新技术选择。
