使用膝部护具和悬吊式助行器进行步态训练的中风患者的行走能力
Walking ability in stroke patients using knee gaiter and suspended walker for gait training.
作者信息
Patel Bhavin Mahendrabhai, Vaghela Nirav, Ganjiwale Deepak
机构信息
Department of Physiotherapy, KM Patel Institute of Physiotherapy, Shree Krishna Hospital, Karamsad, Gujarat, India.
出版信息
J Family Med Prim Care. 2017 Oct-Dec;6(4):795-797. doi: 10.4103/jfmpc.jfmpc_133_17.
BACKGROUND AND OBJECTIVE
The objective of this study is to assess the walking ability of a stroke patient using knee gaiter and suspended walker.
METHODOLOGY
Thirty participants with first acute stroke within first 3 months with the mean age of 55.73 years participated and were allocated randomly into two groups. Participants were taken from Inpatient Department of Medicine of Shree Krishna Hospital, Karamsad and Physiotherapy Department of Shree Krishna Hospital, Karamsad. Both the groups received conventional physiotherapy for 3 weeks. Group A was administered knee gaiter, and Group B was allocated suspended walker. Outcomes/scales were measured in terms of 10-meter walk test (10MWT), 3-min walk test (3MWT), and dynamic gait index (DGI).
RESULTS
After the treatment, both the groups showed significant improvement ( < 0.001) in 3MWT, 10MWT, and DGI scores, but Group A shows additional beneficial effect on 3MWT ( = 0.023) and 10MWT ( = 0.754) with using -test and no significant improvement in all the components of the DGI except step component with using the Mann-Whitney test.
CONCLUSIONS
The findings support the hypothesis that knee gaiter has better gait outcome as compared to suspended walker in stroke patients.
背景与目的
本研究的目的是评估一名中风患者使用膝部护具和悬吊式助行器时的行走能力。
方法
30名在发病后3个月内首次发生急性中风的参与者，平均年龄为55.73岁，参与研究并被随机分为两组。参与者来自卡拉姆萨德什里·克里希纳医院内科住院部和卡拉姆萨德什里·克里希纳医院物理治疗科。两组均接受了3周的常规物理治疗。A组使用膝部护具，B组使用悬吊式助行器。通过10米步行测试（10MWT）、3分钟步行测试（3MWT）和动态步态指数（DGI）来测量结果/量表。
结果
治疗后，两组在3MWT、10MWT和DGI评分上均有显著改善（<0.001），但A组在3MWT（=0.023）和10MWT（=0.754）上显示出额外的有益效果，采用t检验；除步幅分量外，在DGI的所有分量上，采用曼-惠特尼检验无显著改善。
结论
研究结果支持以下假设：在中风患者中，与悬吊式助行器相比，膝部护具具有更好的步态结果。
Zotero 插件