| 姜俊红,汪泉,吴德.运用便携式步态分析系统评价功能性电刺激治疗仪对痉挛性偏瘫病儿步行能力的疗效[J].安徽医药,2023,27(9):1756-1760. |
| 运用便携式步态分析系统评价功能性电刺激治疗仪对痉挛性偏瘫病儿步行能力的疗效 |
| Evaluation of the therapeutic effect of functional electrical stimulation therapy on the walking ability of children with spastic hemiplegia using a portable gait analysis system |
| |
| DOI：10.3969/j.issn.1009-6469.2023.09.013 |
| 中文关键词: 偏瘫 痉挛性偏瘫步态 便携式步态分析 功能性电刺激治疗仪 步行能力 |
| 英文关键词: Hemiplegia Spastic hemiplegic gait Portable gait analysis Functional electrical stimulation instrument Walk-ing ability |
| 基金项目:国家自然科学基金项目( 61671417) |
|
| 摘要点击次数: 453 |
| 全文下载次数: 280 |
| 中文摘要: |
| 目的应用便携式步态分析系统量化评价功能性电刺激治疗仪联合常规步行训练对痉挛性偏瘫病儿步行能力的影响。方法收集 2020年 1月至 2022年 1月安徽医科大学第一附属医院就诊的痉挛性偏瘫病儿 40例，采用随机数字表法分为研究组( 20例)和对照组( 20例)，其中对照组采用常规步行训练，研究组在常规步行训练的基础上加用功能性电刺激治疗仪，均治疗 6个月。治疗前后分别采用便携式步态分析系统测量两组病儿步态时空参数、时相参数及动力学参数指标。结果对照组病儿治疗后步速( 0.58±0.10)m/s、步频( 106.16±6.84)步 /min、步长( 0.27±0.04)m、跨步长( 0.53±0.08)m，研究组病儿治疗后步速( 0.65±0.12)m/s、步频( 108.31±7.97)步 /min、步长( 0.30±0.06)m、跨步长( 0.60±0.12)m，均较治疗前改善，组内均差异有统计学意义( P<0.05)；治疗后研究组与对照组比较，病儿步速、步长、跨步长组间差异有统计学意义( P<0.05)。对照组病儿治疗后患侧支撑期百分比( 61.56±4.49)%、迈步相百分比( 38.38±4.53)%、步态周期( 1.13±0.35)s，研究组病儿治疗后患侧支撑期百分比( 64.47±4.28)%、迈步相百分比( 35.50±4.30)%、步态周期( 1.08±0.34)s，均较治疗前改善，组内均差异有统计学意义( P<0.05)；治疗后研究组与对照组比较，患侧支撑期百分比、迈步相百分比组间差异有统计学意义( P<0.05)。两组病儿治疗后地面冲击力、大腿抽动加速度较治疗前改善，组内均差异有统计学意义( P<0.05)，组间差异无统计学意义( P>0.05)。结论功能性电刺激治疗仪联合常规步行训练能有效改善痉挛性偏瘫病儿的步行能力，便携式步态分析系统为痉挛性偏瘫病儿的疗效提供科学客观依据。 |
| 英文摘要: |
| Objective To evaluate the impact of functional electrical stimulation instrument combined with routine gait training onwalking ability of children with spastic hemiplegia by using a portable gait analysis system.Methods Forty children with spastic hemi-plegia treated in The First Affiliated Hospital of Anhui Medical University from January 2020 to January 2022 were randomly assignedinto study group (n=20) and control group (n=20) by random number table. The control group underwent routine gait training, and thestudy groupused functional electrical stimulation instrument on the basis of routine gait training. Both groups were treated for sixmonths. The portable gait analysis system was used to measure the space-time parameters, phase parameters and kinetic parameters in the two groups before and after treatment.Results After treatment, the speed, cadence, step length and stride length [(0.58±0.10) m/s,(106.16±6.84) step/min, (0.27±0.04) m, (0.53±0.08) m] of children in the control group were improved.And the speed, cadence, steplength and stride length [(0.65±0.12) m/s, (108.31±7.97) step/min, (0.30±0.06) m, (0.60±0.12) m] of children in the study group were al-so improved. The differences were statistically significant in both groups (P<0.05). After treatment, the speed, step length and stridelength of the study group were improved compared with the control group, and the differences were statistically significant (P<0.05). Inthe control and study groups, support phase [(61.56±4.49) %, (64.47±4.28) %], swing phase [(38.38±4.53) %, (35.50±4.30) %] and gaitcycle [(1.13±0.35) s, (1.08±0.34) s] were all significantly improved after treatment and differences were found significant within groups(P<0.05). After treatment, support phase and swing phase were significantly difference between the study group and the control group (P< 0.05). After treatment, ground impact and pulling acceleration of the two groups were significantly improved, and there were significantdifferences within the group (P<0.05), but there was no difference between the two groups (P > 0.05).Conclusions Functional electri- cal stimulation instrument combined with routine gait training could effectively improve the walking ability of children with spastichemiplegia. The portable gait analysis system provided scientific and objective evidence for the treatment outcome of children withspastic hemiplegia. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
