脑瘫青少年异常步态的柔韧性训练干预研究

发布时间：2018-04-15 10:27

本文选题：脑瘫青少年 + 异常步态　；参考：《天津体育学院学报》2017年01期

【摘要】：目的:脑瘫青少年下肢的柔韧性差,导致其步态出现异常,拟通过下肢柔韧性训练改善脑瘫青少年的异常步态。方法:选取5名脑瘫青少年作为干预对象,以1名正常青少年作为参考对象,对5名脑瘫青少年进行12周的下肢分关节柔韧性训练,采用三维录像解析和足底压力分布测试以对比脑瘫青少年柔韧性训练前、后的测试数据。结果:脑瘫青少年重患侧下肢训练后的摆动期、单支撑期与训练前均具有显著性差异(P0.05),与正常青少年无显著性差异(P0.05);训练前重患侧下肢膝角—大腿角、膝角—小腿角在形状上与正常青少年相差很大,在训练后均朝着正常青少年的角—角图形状靠近;训练前重患侧下肢足底7个分区压强雷达图形状与正常青少年相差很大,在训练后与正常青少年的雷达图相近似,且Kendall’s W协同系数经训练后得到较大提高。结论:对髋、膝关节的柔韧性训练可提高脑瘫青少年重患侧下肢摆动的协调性,对踝关节的柔韧性训练可促进重患侧下肢足底压力分布的合理性,分关节柔韧性训练可提高整个步态的稳定性和连续性。
[Abstract]:Aim: to improve the abnormal gait of adolescents with cerebral palsy by lower limb flexibility training.Methods: five adolescents with cerebral palsy were selected as intervention objects and one normal adolescent as reference. Five adolescents with cerebral palsy were trained for 12 weeks of lower limb split-joint flexibility training.Three-dimensional video analysis and plantar pressure distribution test were used to compare the data before and after the flexibility training for adolescents with cerebral palsy.Results: there were significant differences in the swinging period, single support period and pre-training period between the severely affected side of cerebral palsy and normal adolescents (P0.05), and the angle of knee and thigh of the severely affected side of the lower extremity before training was not significantly different from that of the normal adolescents (P0.05), and the angle of knee and thigh of the severely affected side was higher than that of the normal group before training.The shape of knee angle and leg angle is very different from that of normal teenager. After training, the angle and angle of knee angle are close to that of normal teenager, and the shape of pressure radar map of 7 subzones of foot of the seriously affected side of lower extremity before training is very different from that of normal teenager.After training, it is similar to the radar image of normal teenagers, and the Kendall's W synergy coefficient is greatly improved after training.Conclusion: the flexibility training of hip and knee joint can improve the coordination of lower extremity swing in the severely affected side of cerebral palsy, and the flexibility training of ankle joint can promote the rationality of the distribution of plantar pressure in the severely affected side of lower extremity.Joint flexibility training can improve the stability and continuity of the whole gait.
【作者单位】：中国海洋大学体育系;烟台市芝罘区辅读学校;滨州医学院康复医学院;烟台大学附属中学;
【基金】：教育部人文社会科学研究规划基金项目(项目编号:14YJA890007)
【分类号】：R742.3

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