姿势对脑卒中偏瘫患者站-坐转移下肢负重及稳定性的影响

发布时间：2018-03-25 03:34

本文选题：脑卒中　切入点：偏瘫　出处：《中国康复医学杂志》2017年08期

【摘要】：目的:探讨不同的四肢体位对脑卒中偏瘫患者站-坐转移下肢负重及稳定性的影响。方法:选取30例脑卒中偏瘫患者为实验组,30例正常人为对照组,两组受试者均在4种肢位下完成站-坐转移,对受试者完成站-坐转移的时间、双下肢负重、人体重心点在冠状面上的最大摆动幅度(COGX)进行比较。结果:不同上肢体位下脑卒中偏瘫患者站-坐转移的所需时间、下肢负重及COGX的差异不显著(0.05P0.1)。不同足位下脑卒中偏瘫患者站-坐转移的时间、下肢负重及COGX有差异,差异具有显著性意义(P0.05);患足置后,脑卒中偏瘫患者完成站-坐转移时双下肢负重的不对称性要明显小于健足置后(P0.05);而当健足置后时,脑卒中偏瘫患者完成站-坐转移的稳定性要明显优于患足置后(P0.05)。正常人在不同四肢体位下其站-坐转移的时间、下肢负重及COGX均无显著性意义(P0.05)。结论:不同上肢体位对脑卒中偏瘫患者站-坐转移的稳定性及下肢负重无明显影响;不同足位能显著影响脑卒中偏瘫患者站-坐转移时稳定性及下肢负重,患足置后可视为一种潜在提高患侧下肢功能的训练方法。
[Abstract]:Objective: to investigate the effects of different limb positions on the weight bearing and stability of the lower extremities of hemiplegia patients with stroke. Methods: 30 hemiplegic patients with stroke were selected as experimental group and 30 normal subjects as control group. The two groups of subjects completed station-sitting transfer in 4 different limb positions. The time of station-sitting transfer and the load of lower limbs were measured. Results: it took time for the patients with hemiplegic stroke in different upper limb positions to transfer from station to sitting. There was no significant difference in lower extremity load and COGX. There was significant difference in the time of station-sitting transfer, lower limb load and COGX in patients with hemiplegia under different foot positions (P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P 0. 05, P < 0. 05). In stroke hemiplegic patients, the asymmetry of lower extremity load was significantly smaller than that of P0.05 when the patients with hemiplegia had completed the station-sitting transfer, but when the healthy feet were transferred, the asymmetry of the lower extremity load was lower than that of the healthy feet. The stability of post-sitting transfer in stroke hemiplegic patients was significantly better than that in patients with foot placement (P 0.05). There was no significant difference in lower extremity load and COGX. Conclusion: different upper limb positions have no significant effect on the stability of station-sitting transfer and lower limb load in stroke hemiplegic patients. Different foot positions can significantly affect the stability of the patients with hemiplegic stroke during the standing-sitting transfer and lower limb load. The foot placement can be regarded as a potential training method to improve the lower extremity function of the affected side.
【作者单位】：安徽医科大学附属省立医院康复医学科;
【基金】：安徽省科技厅年度重点科研项目(11070403064)
【分类号】：R493;R743.3

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