弹力绷带膝踝联合捆扎改善脑卒中患者步态及日常生活活动能力的疗效观察

发布时间：2018-07-23 11:44

【摘要】：目的:观察应用弹力绷带进行膝踝关节联合捆扎治疗对改善脑卒中患者步态及日常生活活动能力的临床疗效。方法:40例脑卒中患者随机分为试验组和对照组,两组患者均接受脑卒中后常规康复治疗,试验组患者在常规康复治疗中的站立、迈步、行走等训练时应用弹力绷带对患侧膝、踝关节进行同步捆扎,保持膝关节微屈、踝关节背屈。在治疗前及治疗8周后进行三维步态分析、患侧下肢Fugl-Meyer运动功能评定(FMA-L)及改良Barthel指数(MBI)评分,试验组患者在首次应用弹力绷带捆扎前后各做1次三维步态分析。结果:试验组患者在首次应用弹力绷带捆扎后三维步态分析显示其患侧步长、步速及支撑相髋、膝、踝各关节力矩峰值各项分值较捆扎前有显著改善(P0.05);治疗8周后试验组患者下肢FMA-L、MBI评分及三维步态数据较对照组有显著改善(P0.05)。结论:应用弹力绷带进行膝踝关节联合捆扎可显著提高卒中后偏瘫患者的异常步态及日常生活活动能力。
[Abstract]:Objective: to observe the clinical effect of knee and ankle joint binding with elastic bandage on improving gait and ADL of stroke patients. Methods 40 stroke patients were randomly divided into two groups: the experimental group and the control group. The patients in both groups were treated with routine rehabilitation therapy after stroke. The patients in the test group were treated with elastic bandage on the contralateral knee during the training of standing, stepping and walking. The ankle joint carries on the synchronous banding, maintains the knee joint slightly flexion, the ankle joint back flexion. Three-dimensional gait analysis was performed before treatment and 8 weeks after treatment. Fugl-Meyer motor function assessment (FMA-L) and modified Barthel index (MBI) score of the affected lower extremities were evaluated. The patients in the experimental group underwent three dimensional gait analysis before and after the first application of elastic bandage. Results: the three dimensional gait analysis of the patients in the test group after the first application of elastic bandage showed that the affected side step, step speed and supporting phase of hip, knee, hip and knee. After 8 weeks of treatment, the FMA-LU MBI score and 3D gait data of the patients in the experimental group were significantly improved than those in the control group (P0.05). Conclusion: the application of elastic bandage in knee and ankle joint binding can significantly improve the abnormal gait and activity of daily living in patients with hemiplegia after stroke.
【作者单位】：浙江省绍兴市人民医院康复中心;
【基金】：浙江省中医药(中西医结合)重点学科资助项目(2012-XK-A33) 浙江省省医药卫生一般研究计划(2015KYA221) 浙江省中医药科学研究基金计划(2016ZA194)
【分类号】：R493;R743.3

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