| 郭友华,朱乐英,陈红霞.自制踝足矫形带对脑卒中患者步行功能及ADL的影响[J].中国康复,2013,28(4):267-268 |
| 自制踝足矫形带对脑卒中患者步行功能及ADL的影响 |
| Effect of simple homemade adjustable elastic ankle-foot band on walking function and activities of daily living of patients with stroke |
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| DOI： |
| 中文关键词: 可调式弹力踝足矫形带 脑卒中 步行功能 日常生活自理能力 |
| 英文关键词: adjustable elastic ankle-foot band stroke walking function activities of daily living |
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| 中文摘要: |
| 目的：观察自制简易可调式弹力踝足矫形带对脑卒中患者步行功能的影响。方法：60例脑卒中伴足下垂内翻的患者，随机分为康复组和对照组各30例。2组患者均给予常规对症支持治疗及康复训练。康复组在此基础上进行佩戴简易可调式弹力踝足矫形带(AEOB)进行康复训练。治疗前后2组进行Berg平衡量表（BBS）评定、改良Barthel指数（MBI）以及步速评定，康复组又分为佩戴AEOB(AEOB+)和不佩戴AEOB(AEOB-)评定。结果：治疗3周后，2组BBS、MBI评分及步速均较治疗前明显增加（P<0.05）；康复组AEOB+患者的BBS、BI评分及步速均较康复组AEOB-及对照组更显著（P<0.01）；康复组AEOB-更高于对照组（P<0.01）。结论：自制踝足矫形带可矫正脑卒中患者足下垂和内翻畸形，改善患者步行的平衡及稳定性，增加步速，提高日常生活活动能力。 |
| 英文摘要: |
| Objective:To investigate the effect of simple homemade adjustable elastic ankle-foot band on walking function and activities of daily living of stroke patients.Methods:Sixty patients with foot drop and strephenopodia after stroke were involved.All subjects were randomly assigned into either treatment group or control group.The control group was treated with general rehabilitation training,and the treatment group was treated with general rehabilitation training and wearing adjustable elastic ankle-foot band (AEOB).Berg balance scale (BBS),modified Barthel index (MBI) and walking speed were assessed before and after treatment.Results:The scores of BBS and MBI,and walking speed after treatment were significantly increased as compared with those before treatment (P<0.05).There were statistically significant differences before and after treatment among the treatment group AEOB+,the treatment group AEOB- and the control group (P<0.01).The scores of BBS and MBI,and walking speed in the treatment group AEOB+ after treatment were higher than in the treatment group AEOB- and the control group,and those in the treatment group AEOB- were higher than in the control group.Conclusion:The simple homemade adjustable elastic ankle-foot band can correct the foot drop and strephenopodia of patients with stroke,improve the balance and stability of walking and activities of daily living,and increase walking speed.The production cost of the adjustable elastic ankle-foot band is low and adapt to rapid promotion in clinical practice. |
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