肖乐,林芳波,周美云,等.强化足跟抗重力姿势稳定训练对脑卒中后偏瘫患者步态时空参数的影响[J].中华物理医学与康复杂志,2025,47(8):699-703
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| 强化足跟抗重力姿势稳定训练对脑卒中后偏瘫患者步态时空参数的影响 |
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| DOI：10.3760/cma.j.cn421666-20240906-00722 |
| 中文关键词: 脑卒中 姿势稳定 步态 时空参数 |
| 英文关键词: Stroke Postural stability Gait |
| 基金项目:湖南省自然科学医卫行业联合基金(2024JJ9510) |
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| 中文摘要: |
| 目的 观察强化足跟抗重力姿势稳定训练对脑卒中患者步态时空参数的影响。 方法 募集符合标准的脑卒中后偏瘫患者36例，按随机数字表法将其分为对照组和试验组，每组患者18例。2组均给予常规康复治疗（包括良肢位摆放、肢体运动训练和常规步行训练等），试验组在常规康复治疗的基础上增加强化足跟抗重力姿势稳定训练，强化足跟抗重力姿势稳定训练每日1次，每次30 min，每周5 d，连续进行4周。于治疗前和治疗4周后（治疗后）采用三维步态分析和运动训练系统获取3组患者步行过程中的步速、步频、步幅以及峰值屈膝角度和峰值屈髋角度，并进行统计学分析。 结果 治疗后，2组患者的步速、步频、步幅以及峰值屈髋和屈膝角度均较组内治疗前均显著改善（P<0.05）；且试验组治疗后的步速［（0.46±0.06）m/s］、步幅［(85.05±6.68)cm］、峰值屈髋角度［(34.80±2.80)°］和峰值屈膝角度［(40.55±3.58)°］均显著优于对照组治疗后（P<0.05）。 结论 强化足跟抗重力姿势稳定训练可显著改善脑卒中后偏瘫患者步速、步幅、屈髋和屈膝角度，纠正其步态。 |
| 英文摘要: |
| Objective To observe the effect of intensified heel anti-gravity posture stability training on the gait of stroke survivors. Methods Thirty-six hemiplegic stroke survivors were randomly divided into a control group and an experimental group, each of 18. Both groups received conventional rehabilitation treatment (including limb positioning, limb movement training and conventional walking training), while the experimental group was additionally provided with 30 minutes of intense heel anti-gravity posture stability training 5 days a week for 4 weeks. Before and after the treatment, the subjects′ walking speed, stride frequency, step length, peak knee flexion angle and peak hip flexion angle were documented using three-dimensional gait analysis with a movement training system. Results The average walking speed, stride rate, step length, peak hip flexion and peak knee flexion of both groups had improved significantly after the treatments. But the average walking speed ［(0.46±0.06)m/s］, step length ［(85.05±6.68)cm］, peak hip flexion angle ［(34.80±2.80)°］ and peak knee flexion angle ［(40.55±3.58)°］ of the treatment group were significantly better than those of the control group. Conclusions Intensified heel anti-gravity posture stability training can significantly improve the walking speed, step length, hip flexion and knee flexion of hemiplegic stroke survivors. |
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