膝关节控制的强化训练对卒中偏瘫患者步行时膝过伸的影响

发布时间：2018-01-20 20:07

本文关键词： 膝关节控制训练偏瘫步行功能膝过伸　出处：《成都中医药大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：通过膝关节控制的强化训练来观察卒中偏瘫患者步行时膝过伸的情况,同时观察患者的偏瘫步态是否得到纠正,步行能力是否能提高。方法：将64例患者随机分为2组,治疗组(对照组+膝关节控制的强化训练)32例,对照组(电针+常规康复疗法)32例。两组治疗时间均为4周,在治疗前后均进行膝关节角度的测定、“起立-行走”计时、Tinetti量表的评定、Fugl-Meyer下肢功能评分和10m最大步行速度步行时膝过伸的次数的评定。结果：治疗4周后治疗组疗效96.88%,对照组疗效84.37%,两组组间比较差异有统计学意义(X2=5.080,P0.05)。治疗4周后两组膝关节角度、TUGT的时间、Tinetti量表的评分、10m最大步行速度步行时膝过伸的次数和Fugl-Meyer下肢功能评分,差异均有统计学意义(P0.05)。结论：膝关节控制的强化训练可以改善卒中偏瘫患者步行时膝过伸的状况,纠正异常的步态,提高步行的能力。
[Abstract]:Aim: to observe the extension of knee joint in stroke hemiplegic patients during walking by intensive training of knee joint control, and to observe whether the gait of hemiplegia can be corrected, and whether the walking ability can be improved. Methods: 64 patients were randomly divided into two groups: treatment group (control group, 32 cases), control group (32 cases), electroacupuncture routine rehabilitation therapy (32 cases), both groups were treated for 4 weeks. The knee joint angle was measured before and after treatment, and the Tinetti scale was used to evaluate the "stand-up walking" timing. Fugl-Meyer score of lower limb function and the number of times of knee extension during walking at 10 m maximum walking speed. Results: after 4 weeks of treatment, the curative effect of the treatment group was 96.88 and that of the control group was 84.37. The difference between the two groups was statistically significant. After 4 weeks of treatment, the time of TUGT and the score of Tinetti scale were measured in the two groups. There were significant differences in the number of knee extension and Fugl-Meyer lower limb function score during walking at 10 m maximum walking speed (P 0.05). Conclusion: the intensive training of knee joint control can improve the condition of knee extension, correct abnormal gait and improve walking ability of stroke hemiplegic patients.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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