下肢开链增重法对脑卒中患者位置觉和步态对称性的即刻影响

发布时间：2018-03-15 06:03

本文选题：脑卒中　切入点：开链　出处：《中国康复理论与实践》2017年08期 　论文类型：期刊论文

【摘要】：目的研究下肢开链增重对脑卒中患者位置觉和步态对称性的即刻影响。方法 2016年1月至2017年1月,选取本院脑卒中患者39例,分别在增重前后进行下肢位置觉测评,包括主动定位-主动复位(ARAP)和被动定位-被动复位(PRPP)测评,记录目标角度与复位角度差值;以及步态测评,记录足偏角对称性、步长对称性、单腿支撑相时长对称性。结果下肢增重后,髋直腿抬高PRPP位置觉无改善(t=0.832,P=0.832),ARAP位置觉改善(t=3.158,P=0.011);足偏角对称性无改善(t=-0.704,P=0.483),步长对称性改善(t=2.022,P=0.041),单腿支撑相对称性无改善(t=0.381,P=0.702)。结论下肢开链增重可以改善脑卒中患者的下肢主动位置觉和步长对称性。
[Abstract]:Objective to study the immediate effect of open chain weight gain on position perception and gait symmetry in patients with stroke. Methods from January 2016 to January 2017, 39 patients with stroke were selected and evaluated before and after weight gain. Including active location-active reset ARAPs and passive location-passive reset PRPPs, the difference between the target angle and the reset angle is recorded, and the gait measurement records the foot angle symmetry and step size symmetry. Results after weight gain of lower extremity, There was no improvement in the position perception of PRPP raised by the hip straight leg and the position perception of ARAP was improved by 3.158U / L, the symmetry of the foot angle was not improved by 0.704, the symmetry of the step length was improved by t2.022P0.041, and the symmetry of the support phase of one leg was not improved by 0.381Pao 0.702. Conclusion Open chain weight gain can improve the lower extremity master of stroke patients with cerebral apoplexy. [WT5BZ] the conclusion is that the opening chain and weight gain can improve the lower extremity master of stroke patients with cerebral apoplexy by increasing the weight of the open chain and the lower extremity of the patients with cerebral apoplexy by improving the symmetry of the step length and the symmetry of the leg support phase. Moving position sense and step-size symmetry.
【作者单位】：上海市养志康复医院(上海市阳光康复中心)物理疗法科;
【基金】：上海市残联优青课题(No.2014KFB01YQ)
【分类号】：R493;R743.3

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