Halliwick理念结合康复训练大池对于提高脑卒中患者下肢运动能力的临床疗效观察

Clinical Observation on the Effectiveness of Combining the Halliwick Concept with Rehabilitation Pool Training in Improving Lower Limb Motor Function in Stroke Patients

摘要: 目的：观察将Halliwick理念与康复训练大池治疗结合后对于脑卒中患者下肢运动能力提高的影响。方法：将60例脑卒中后存在下肢功能运动障碍的患者，随机分为观察组和对照组，每组各30例。对照组进行传统手法和器械康复，观察组在传统康复治疗基础上加用Halliwick理念结合康复训练大池治疗，2周为一个疗程，3个疗程后观察疗效。治疗前后用简化Fugl-Meyer运动量表(FMA)及威斯康星步态量表(WGS)进行下肢步行功能评价。结果：两组患者干预前组间各参数差异无显著性，干预治疗6周后，两组组内前后对比，FMA和WGS评分结果表明两组患者功能均有显著性提高(P < 0.05)；两组组间前后对比，FMA和WGS结果说明Halliwick理念结合康复训练大池对于提高脑卒中患者下肢步行功能和步态效果较明显(P < 0.05)。结论：Halliwick理念结合康复训练大池对于提高脑卒中患者下肢运动能力有显著效果。

Abstract: Objective: To investigate the impact of combining the Halliwick concept with rehabilitation pool training on improving lower limb motor function in stroke patients. Methods: A total of 60 stroke patients with lower limb motor dysfunction were randomly divided into an observation group and a control group, with 30 patients in each group. The control group received traditional manual and equipment-based rehabilitation, while the observation group underwent additional treatment incorporating the Halliwick concept with rehabilitation pool training based on traditional rehabilitation. Each course lasted 2 weeks, and the efficacy was evaluated after 3 courses. The simplified Fugl-Meyer Assessment (FMA) and Wisconsin Gait Scale (WGS) were used to evaluate lower limb walking function before and after treatment. Results: There were no significant differences in parameters between the two groups before intervention. After 6 weeks of intervention, both groups showed significant improvement in FMA and WGS scores compared to baseline (P < 0.05). Furthermore, the comparison of changes between groups indicated that combining the Halliwick concept with rehabilitation pool training resulted in more pronounced improvements in lower limb walking function and gait performance in stroke patients (P < 0.05). Conclusion: Combining the Halliwick concept with rehabilitation pool training has a significant effect on improving lower limb motor function in stroke patients.