节律性听觉刺激对偏瘫患者步行功能的改善

doi:10.20223/j.cnki.1000-8535.2025.06.010

摘要/Abstract

摘要： 目的探讨节律性听觉刺激对偏瘫患者步行功能的改善效果。方法选择2022年1月—2023年12月河南中医药大学第五临床医学院收治的81例偏瘫患者,使用随机数表法将患者分为两组,对照组41例采取常规康复训练,观察组40例在常规康复训练基础上实施节律性听觉刺激,比较两组康复效果、Fugl-Meyer功能改善评定量表（FMA）、Berg平衡量表（BBS）、日常生活自理能力（ADL）、Holden步行能力、“起立-行走”计时测试（TUGT）、步态特征。结果观察组总有效率为95.00%,高于对照组的75.61%（χ²=6.032,P=0.014）。干预后,观察组FMA评分、BBS评分、ADL评分比对照组更高（t=5.564、4.377、4.949,P<0.001）。干预后,观察组Holden步行能力评分比对照组更高,TUGT比对照组更低（t=3.953、5.184,P<0.001）。干预后,观察组步长、步频、步速高于对照组（t=5.417、5.514、7.140,P<0.001）。结论偏瘫患者康复训练中实施节律性听觉刺激可提高康复效果,促使肌力改善,恢复正常的上下肢活动功能,提高患者的平衡能力和步行能力。

关键词: 偏瘫, 节律性听觉刺激, 运动功能, 步行能力, 步态特征

Abstract: Objective To explore the effect of rhythmic auditory stimulation on the improvement of walking function in patients with hemiplegia. Methods A total of 81 patients with hemiplegia admitted to the hospital from January 2022 to December 2023 were selected for the study,and were divided into two groups by random number table method．The control group（41 cases）received routine rehabilitation training,and the observation group（40 cases）received rhythmic auditory stimulation on the basis of routine rehabilitation training．The rehabilitation effects,Fugl-Meyer Assessment（FMA）,Berg Balance Scale（BBS）,Ability of Daily Living（ADL）,Holden walking ability,Timed Up and Go Test（TUGT）,and gait characteristics were compared between the two groups．Results The total effective rate of 95.00% in the observation group was significantly higher than 75.61% in the control group（χ²=6.032,P=0.014）．After treatment,FMA scores,BBS scores and ADL scores in the observation group were significantly higher than those in the control group（t=5.564,4.377,4.949,P<0.001）．After treatment,the observation group had a higher Holden walking ability score and a lower TUGT score than the control group（t=3.953,5.184,P<0.001）．After treatment,the step length,step frequency and step speed in observation group were significantly higher than those in control group（t=5.417,5.514,7.140,P<0.001）．Conclusions The implementation of rhythmic auditory stimulation in rehabilitation training of hemiplegia patients can improve the rehabilitation effect,promote the improvement of muscle strength,restore normal activities of upper and lower extremity,improve balance ability and walking ability,which is worth promoting．

Key words: hemiplegia, rhythmic auditory stimulation, motor function, walking ability, gait feature

林蕊, 司新艳, 吕靖. 节律性听觉刺激对偏瘫患者步行功能的改善[J]. 广州医药, 2025, 56(6): 793-797.

LIN Rui, SI Xinyan, LYU Jing. Improvement of walking function in patients with hemiplegia by rhythmic auditory stimulation[J]. Guangzhou Medical Journal, 2025, 56(6): 793-797.

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