| 王玉英,刘孟,昝明,郭能峰,傅皞.踝足矫形器对脑卒中患者步行能力影响的疗效观察[J].中国康复,2013,28(4):274-275 |
| 踝足矫形器对脑卒中患者步行能力影响的疗效观察 |
| Effects of ankle-foot orthosis on walking capacity recovery of patients with stroke hemiplegia |
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| DOI： |
| 中文关键词: 踝足矫形器 脑卒中 步态分析 |
| 英文关键词: ankle-foot orthosis (AFO) stroke gait analysis |
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| 中文摘要: |
| 目的：观察佩戴踝足矫形器(AFO)对脑卒中患者步行能力改善的程度。方法：脑卒中偏瘫患者32例,给予佩戴50S1动态踝足矫形器7d后,采用三维步态分析系统评测佩戴AFO前后的步态空间域参数和步态时间域参数。结果：佩戴7d后,脑卒中患者步态空间域参数中平均步幅宽患、健侧均较佩戴前下降(P<0.05)，平均步幅长、步伐长和平均步向角患、健侧均较佩戴前增大 (P<0.05，0.01)；步态时间域参数中步速、步频和双支撑相百分比患侧、健侧均较佩戴前明显增加，(P<0.01)，单支撑相和摆动相百分比患侧较佩戴前明显增加、健侧较佩戴前下降(P<0.01)。结论：佩戴AFO可以改善脑卒中患者步态的稳定性，患、健侧的步速、步频均明显提高，并且佩戴后即刻发挥作用。 |
| 英文摘要: |
| Objective:To observe the effects of the ankle-foot orthosis (AFO) on the recovery of the walking capacity of patients with stroke hemiplegia.Methods:We randomly selected 32 cases of chronic stroke hemiparesis.After using 50S1 AFO for 7 days,we adopted 3-D gait analysis system on these patients to evaluate and contrast the gait parameters in the spatial domain and time domain before and after using AFO.Results:After using AFO for 7 days,we observed that one of the spatial parameters,the average stride width of both injured and uninjured sides was decreased significantly (P<0.05).On the contrary,the average stride length,pace length and step angle of both injured and uninjured sides were increased dramatically (P<0.05).The time domain parameters,including stride pace,stride frequency and double-support status of both injured and uninjured sides were raised significantly (P<0.01).The single-support status and sway status of injured sides were raised,and those of the uninjured sides declined (P<0.01).Conclusion:Adopting AFO on hemiplegic patients can improve their stride stability,and increase their stride pace and stride frequency significantly.The improvement took place immediately after wearing AFO. |
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