| 张琪,高汉义,王莹,等.踝足矫形器介入时机与脑卒中偏瘫病人步态的相关性研究[J].安徽医药,2022,26(6):1144-1147. |
| 踝足矫形器介入时机与脑卒中偏瘫病人步态的相关性研究 |
| Study on the correlation between the timing of ankle-foot orthosis intervention and the gait of stroke patients with hemiplegia |
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| DOI：10.3969/j.issn.1009-6469.2022.06.019 |
| 中文关键词: 卒中 偏瘫 踝足矫形器 步态分析 介入时机 |
| 英文关键词: Stroke Hemiplegia Ankle-foot orthosis Gait analysis Timing of intervention |
| 基金项目:山东省医药卫生科技发展计划项目( 2017WS401) |
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| 中文摘要: |
| 目的探讨踝足矫形器(AFO)不同介入时机与脑卒中偏瘫病人步态的相关性。方法选择 2018年 7月至 2020年 1月期间潍坊医学院附属医院康复科脑卒中偏瘫住院病人共 40例。其中 A组为下肢 Brunnstrom2期病人 20例， B组为下肢 Brunnstrom3期病人 20例，两组均接受常规康复治疗和 AFO治疗，两组病人均使用 Senno Gait步态分析系统对其治疗前后进行步态分析。结果经过 8个周的治疗后，两组病人的双支撑相比例均较治疗前变小；偏侧摆动相的比例均较治疗前变大；偏侧着地期内翻角均较治疗前变小；偏侧着地期背伸角均较治疗前变大；步宽治疗后均较治疗前变小。 A、B两组相比较， A组病人的双支撑相治疗前后的差值( 18.80±4.34)%显著大于 B组病人的双支撑相治疗前后的差值( 14.45±5.00)%，且 A组的偏侧摆动相、偏侧着地期内翻角、偏侧着地期背伸角、步宽等指标治疗前后的差值也较 B组病人大( P<0.05)。结论脑卒中偏瘫病人在 Brunnstrom2期介入 AFO后步态各项指标优于 Brunnstrom3期介入，因此 AFO越早介入效果越好。 |
| 英文摘要: |
| Objective To explore the correlation between different intervention timings of ankle-foot orthosis (AFO) and the gait of stroke patients with hemiplegia.Methods A total of 40 patients with stroke and hemiplegia in the Rehabilitation Department of Weifang Medical College Affiliated Hospital from July 2018 to January 2020 were selected. Group A includes 20 patients with lower limbBrunnstrom stage 2 and group B includes 20 patients with lower limb Brunnstrom stage 3. Both groups received conventional rehabilitation and AFO treatment, and both groups used Senno Gait gait analysis system to perform before and after treatment.Results After 8 weeks of treatment, the dual stance phase became smaller than that before treatment; the swing stance of the affected side became larger than that before treatment; the turning angle during the landing phase of the affected side became smaller than that before treatment;the dorsiflexion angle during the landing phase of the affected side became larger than that before treatment; the walking base becamesmaller than that before treatment. The difference of the dual stance phase before and after treatment in group A [(18.80±4.34)%] wassignificantly greater than that in group B patients [(14.45±5.00)%], and in group A the swing stance of the affected side, the angle of theaffected side during landing, the dorsiflexion angle of the affected side during landing, and the walking base before and after treatmentwas also larger than those of group B (P<0.05).Conclusion The indicators of stroke patients with hemiplegia after Brunnstrom stage 2AFO intervention are better than Brunnstrom stage 3 intervention, so the earlier AFO intervention, the better the effect. |
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