体重支持（BWS）与无体重支持（无BWS）的步态训练对中风患者的影响。

The effects of gait training with body weight support (BWS) with no body weight support (no-BWS) in stroke patients.

作者信息

Ullah Muhammad Asad, Shafi Hina, Khan Ghazanfar Ali, Malik Arshad Nawaz, Amjad Imran

机构信息

Armed Forces Institute of Rehabilitation Medicine, Rawalpindi, Pakistan.

Foundation University Institute of Rehabilitation Sciences, Islamabad, Pakistan.

出版信息

J Pak Med Assoc. 2017 Jul;67(7):1094-1096.

PMID:28770894

Abstract

The purpose of this study was to measure the clinical outcomes for patients with stroke after gait training with body weight support (BWS) and with no body weight support (no-BWS).Experimental group was trained to walk by a BWS system with overhead harness (BWS group), and Control group was trained with full weight bearing walk on their lower extremities. Treatment session comprised of six weeks training. Treatment outcomes were assessed on the basis of Timed 10 Meter Walk Test, Timed Get Up and Go Test and Dynamic Gait Index. There was a significant (P<0.05) difference in BWS and NBWS for Dynamic Gait Index, Timed Get Up and Go Test, Timed 10 Meter Walk Test (Self-Selected Velocity), and Timed 10 Meter Walk Test (Fast-Velocity). Training of gait in stroke patients while a percentage of their body weight supported by a harness, resulted in better walking abilities than the Training of gait while full weight was placed on patient's lower extremities.

摘要

本研究的目的是测量接受体重支持（BWS）步态训练和无体重支持（无BWS）步态训练的中风患者的临床结果。实验组通过带有头顶吊带的BWS系统进行步行训练（BWS组），对照组进行下肢全负重步行训练。治疗疗程包括六周的训练。治疗结果根据定时10米步行测试、定时起立行走测试和动态步态指数进行评估。在动态步态指数、定时起立行走测试、定时10米步行测试（自选速度）和定时10米步行测试（快速速度）方面，BWS组和无BWS组之间存在显著差异（P<0.05）。中风患者在吊带支持其部分体重的情况下进行步态训练，比在患者下肢全负重的情况下进行步态训练能产生更好的步行能力。