王盛，郭川，龚晨，陈伟伽，王雨辰，顾昭华.自制偏瘫步行矫正带对慢性期脑卒中患者伸肌协同偏瘫步态的运动学及时空参数影响[J].中华物理医学与康复杂志,2018,40(10):740-744
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| 自制偏瘫步行矫正带对慢性期脑卒中患者伸肌协同偏瘫步态的运动学及时空参数影响 |
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| 中文关键词: 脑卒中 矫正带 步态 |
| 英文关键词: Stroke Correcting tape Gait |
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| 中文摘要: |
| 目的 观察自制偏瘫步行矫正带对慢性期脑卒中患者典型伸肌偏瘫步态的运动学参数及时空参数影响。 方法 选取慢性期脑卒中后偏瘫患者30例，按随机数字表法随机分为对照组与步行矫正带组，每组患者15例。2组患者均给予常规康复治疗，对照组在常规康复治疗的基础上增加步行训练，训练时根据患者下肢的异常情况予以口头指令和必要时的手法辅助，每日训练1次，每次训练30 min，每周训练5次，连续训练3周。步行矫正带组在常规康复治疗的基础上进行步行矫正带辅助下的步行训练，每日1次，每次训练30 min，每周训练5次，连续训练3周。于治疗前和治疗3周后（治疗后）分别对2组患者进行简易三维步态分析测试以获得步态的运动学参数和时空参数。 结果 治疗后，步行矫正带组偏瘫侧下肢关节角度的屈髋峰值和屈膝峰值分别为（37.7±5.9）°和（40.6 ±7.5）°，与组内治疗前和对照组治疗后比较，差异均有统计学意义（P<0.05）。治疗后，2组患者的步速、步频、步幅与组内治疗前比较，差异均有统计学意义（P<0.05）, 且步行矫正带组治疗后的步速、步频、步幅分别与对照组治疗后比较，差异均有统计学意义（P<0.05）。 结论 偏瘫步行矫正带可显著改善偏瘫侧摆动相屈髋和屈膝的幅度，提高偏瘫患者的步行能力。 |
| 英文摘要: |
| Objective To observe the effect of a walking correcting tape on the kinematics and temporal-spatial indicators of gait after a stroke. Methods Thirty hemiplegic stroke survivors were randomly divided into a control group (n=15) and a correcting tape group (n=15). In addition to their routine rehabilitation program, the control group received 30 minutes of walking training five times a week for 3 weeks with any necessary oral guidance and posture correction. The correcting tape group performed the same walking training assisted by a self-made walking correcting tape. Before and after the treatment, the kinematics and temporal-spatial indicators of both groups were quantified using three-dimensional gait analysis. Results After the treatment, the peak angles of hip and knee flexion were significantly higher in the taped group than in the control group and in the taped group before the treatment (P≤0.05). After the treatment, the walking speeds, stride frequencies and stride lengths of both groups were significantly better than before the treatment, but those of the former group were all significantly better than the latter (P≤0.05 for both). Conclusions Correcting tape can improve the peak angles of hip and knee flexion of hemiplegic legs and improve the walking capacity of stroke patients. |
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