| 李晓亚,张芝梅,王山岭,凌晴.脑卒中偏瘫痉挛期患者足底压力与平衡功能的相关性分析[J].中国康复,2022,37(9):532-536 |
| 脑卒中偏瘫痉挛期患者足底压力与平衡功能的相关性分析 |
| Correlation between the plantar pressure distribution and standing balance function in poststroke patients with spastic hemiplegia |
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| DOI： |
| 中文关键词: 脑卒中 足底压力分析 平衡功能障碍 步态不对称性 |
| 英文关键词: stroke balance dysfunction plantar pressure analysis gait asymmetry |
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| 摘要点击次数: 2024 |
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| 中文摘要: |
| 目的：探讨脑卒中偏瘫痉挛期患者的足底压力分布和平衡功能特点及相关性。方法：2020年12月至2022年2月于本院康复科招募脑卒中偏瘫痉挛期患者40例（研究组）和健康中老年志愿者30例（对照组）。2组均进行静、动态的足底压力和睁、闭眼下的平衡功能测试，比较2组足底8个区域压力参数，分析研究组足底压力不对称性与平衡功能的相关程度。结果：研究组中，与非偏瘫侧比较，偏瘫侧静态和动态足跟内侧和外侧的足底压力均明显低于非偏瘫侧（P＜0.05）。与对照组比较，研究组偏瘫侧静态和动态足跟内侧和外侧的足底压力均明显低于对照组（P＜0.05），动态拇趾足底压力明显低于对照组（P＜0.05）。研究组闭眼状态下平衡测试运动轨迹长度与动态足跟内侧压力差呈正相关（R=0.645，P＜0.05），与动态足跟外侧压力差呈正相关（R=0.518，P＜0.05）。结论：脑卒中偏瘫痉挛期患者步行时足底压力呈现不对称性，足跟内外侧压力的不对称与平衡运动轨迹长度存在相关性。 |
| 英文摘要: |
| Objective: To explore the characteristics and the relationship between the plantar pressure distribution and standing balance function in poststroke patients with spastic hemiplegia. Methods: From December, 2020 to February, 2022, 40 stroke subjects with spastic hemiplegia (experimental group) and 30 normal subjects (control group) were recruited in the Rehabilitation Department of our hospital. Static and dynamic plantar pressure of subjects in both groups was measured using the Gaitview system, and the standing balance function under eyes open and closed conditions were collected. The parameters of plantar pressure in 8 regions within and between groups were compared. The relationship between the plantar pressure asymmetry and standing balance function was analyzed in the experimental group. Results: In the experimental group, the static and dynamic plantar pressures in the medial and lateral heel of the affected feet were significantly lower than those of the unaffected feet (P<0.05). The static and dynamic plantar pressures in the medial and lateral heel, and the dynamic toe I plantar pressure were significantly lower in the experimental group than in the control group (P<0.05). There was a positive correlation between the trajectory length under eyes closed condition and medial heel pressure difference (R=0.645, P<0.05) and lateral heel pressure difference (R=0.518, P<0.05) between the affected and unaffected side in the experimental group. Conclusion: The plantar pressure of stroke patients with spastic hemiplegia presents the gait asymmetry when walking, and the asymmetry of dynamic plantar pressures in the medial and lateral heel is correlated with the trajectory length. |
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