Department of Physical Therapy, The Graduate School, Daejeon University, Daejeon, Republic of Korea.
Clin Rehabil. 2011 May;25(5):451-9. doi: 10.1177/0269215510389200. Epub 2011 Jan 18.
To investigate the effect of community-based ambulation training on walking function of patients with post-stroke hemiparesis.
Randomized, single-blind, controlled pilot study.
Inpatient rehabilitation hospital.
Twenty-five subjects were randomly assigned to either the experimental group or the control group, with 13 and 12 subjects, respectively.
All subjects received a routine physical therapy. The subjects in the experimental group also received community-based ambulation training, which was performed for an hour, once a day, three times a week for a four-week period.
Ten-metre walk test, 6-minute walk test, community walk test, walking ability questionnaire and activities-specific balance confidence scale before and after the intervention.
The change values of the 10-m walk test (0.21 ± 0.12 m/s versus 0.07 ± 0.10 m/s), community walk test (-13.61 ± 10.31 minutes versus -3.27 ± 11.99 minutes), walking ability questionnaire (6.15 ± 3.60 score versus 2.75 ± 2.38 score) and activities-specific balance confidence scale (17.45 ± 11.55 score versus 2.55 ± 10.14 score) were significantly higher in the experimental group than in the control group (P < 0.05). At post-test, the 10-m walk test was significantly higher in the experimental group than in the control group (0.72 ± 0.24 m/s versus 0.50 ± 0.23 m/s) (P < 0.05). In the experimental group, there were significant differences for all variables between pre-test and post-test (P < 0.01), whereas the subjects of the control group showed a significant difference in only the walking ability questionnaire (P < 0.01).
The findings demonstrate that community-based ambulation training can be helpful in improving walking ability of patients with post-stroke hemiparesis and may be used as a practical adjunct to routine rehabilitation therapy.
探讨社区步行训练对脑卒中偏瘫患者步行功能的影响。
随机、单盲、对照初步研究。
住院康复医院。
25 名患者被随机分配到实验组或对照组，每组 13 名和 12 名患者。
所有患者均接受常规物理治疗。实验组患者还接受社区步行训练，每周 3 次，每次 1 小时，共 4 周。
干预前后 10 米步行测试、6 分钟步行测试、社区步行测试、步行能力问卷和活动特异性平衡信心量表。
实验组 10 米步行测试（0.21±0.12m/s 与 0.07±0.10m/s）、社区步行测试（-13.61±10.31 分钟与-3.27±11.99 分钟）、步行能力问卷（6.15±3.60 分与 2.75±2.38 分）和活动特异性平衡信心量表（17.45±11.55 分与 2.55±10.14 分）的变化值显著高于对照组（P<0.05）。在测试后，实验组 10 米步行测试显著高于对照组（0.72±0.24m/s 与 0.50±0.23m/s）（P<0.05）。实验组中，所有变量在测试前和测试后均有显著差异（P<0.01），而对照组中仅步行能力问卷有显著差异（P<0.01）。
研究结果表明，社区步行训练有助于提高脑卒中偏瘫患者的步行能力，可作为常规康复治疗的实用辅助手段。
