文章摘要
孟凡阳,张元勋,牟谷萼,陈勇.视觉反馈下的踝关节本体感觉训练矫治脑卒中足内翻的疗效分析[J].中国康复,2019,34(7):343-346
视觉反馈下的踝关节本体感觉训练矫治脑卒中足内翻的疗效分析
Therapeutic effect of proprioceptive training of ankle under visual feedback on strephenopodia after stroke
  
DOI:
中文关键词: 脑卒中  足内翻  视觉反馈  本体感觉训练
英文关键词: stroke  strephenopodia  visual feedback  proprioception training
基金项目:
作者单位
孟凡阳 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
张元勋 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
牟谷萼 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
陈勇 华中科技大学同济医学院附属同济医院康复医学科武汉 430030 
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中文摘要:
      目的:分析视觉反馈下的踝关节本体感觉训练对改善脑卒中患者足内翻的疗效。方法:60例脑卒中足内翻患者,随机分为2组各30 例。对照组进行常规康复治疗,观察组在此基础上结合视觉反馈下的踝关节本体感觉训练。治疗前及治疗6周后,分别评定2组患者的本体感觉重现角度与目标角度的差值、足内翻角度、10米最大步行速度(MWS),同时用改良Ashworth量表(MAS)进行评定。结果:治疗后,2组本体感觉重现角度与目标角度差值、踝关节足内翻角、MAS评分均校治疗前显著降低(P<0.01),且观察组上述指标评分更低于对照组(P<0.01),治疗后,2组MWS均较治疗前显著提高(P<0.01),且观察组更高于对照组(P<0.01)。结论:视觉反馈下的踝关节本体感觉训练在改善脑卒中患者足内翻的治疗中疗效显著。
英文摘要:
      Objective: To analyze the therapeutic effect of proprioceptive training of ankle under visual feedback on strephenopodia in stroke patients. Methods: Sixty patients who met the inclusion criteria were selected, 30 in the control group and 30 in the observation group. The control group received routine rehabilitation treatment, and the observation group was given routine rehabilitation treatment combined with proprioceptive training of ankle joint under visual information feedback. They were assessed with the difference between the reproducing angle of proprioception and the target angle, range of motion (ROM) of ankle, maximum walking speed (MWS) in ten metres and modified Ashworth Scale (MAS) before and 6 weeks after treatment. Results: After treatment, the difference between the reproducing angle of proprioception and the target angle, foot varus angle, MWS and MAS scores in the two groups were significantly reduced as compared with those before treatment (P<0.001), and those in the observation group were more significant than in the control group (P<0.001). Conclusion: Ankle proprioception training with visual feedback has a significant effect on improving strephenopodia in stroke patients.
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