不同足位对脑卒中偏瘫患者坐—站转移稳定性及下肢负重的影响

发布时间：2018-04-10 15:18

本文选题：脑卒中 + 偏瘫　；参考：《安徽医科大学》2014年硕士论文

【摘要】：目的探讨不同足位对脑卒中偏瘫患者坐-站转移稳定性及下肢负重的影响。方法选取脑卒中偏瘫患者36例（实验组）和正常人36例（对照组），，2组受试者均需在双足（BF）踝背屈10°、BF踝背屈10°时患足置后（PFP）或非优势足置后（UFDP）、BF踝背屈10°时健足置后（NPFP）或优势足置后（DFP）3种足位下完成坐-站转移测试，采用AL-080型步态与平衡功能训练评估系统对受试者完成坐-站转移的时间、双下肢负重差异（ALD）、人体重心点（COG）在冠状面上的摆动幅度（COGX）进行测量，探讨其不同差异。结果 1.BF踝背屈10°时，除坐-站转移所需的时间外，健足平均负重【（59.12±2.71）%】、患足平均负重【（40.88±2.71）%】、ALD【（18.24±5.41）%】及COGX【（3.58±0.76）cm】与PFP比较，差异均有统计学意义（P＜0.05）。 2.NPFP时，上述所有指标与PFP比较，差异均有统计学意义（P＜0.05），与BF踝背屈10°时各指标比较，除坐-站转移所需时间外，剩余指标与其差异均有统计学意义（P＜0.05）。 3.与对照组UDFP时比较，BF踝背屈10°时所有指标均有不同程度增高或降低（P＜0.05），DFP时，除坐-站转移所需时间外，剩余指标与UDFP时比较，差异均有统计学意义（P＜0.05）。对照组3种足位下所有指标与实验组比较，差异均有统计学意义（P＜0.05）。 4.实验组PFP时（r=0.753、p=0.00）、BF踝背屈10°时（r=0.798、p=0.00）、NPFP时（r=0.814、p=0.00）ALD与COGX之间呈高度正相关性，对照组UDFP时（r=0.764、p=0.00）、BF踝背屈10°时（r=0.824、p=0.00）、DFP时（r=0.838、p=0.00）ALD与COGX之间亦呈高度正相关性。结论 5.1脑卒中偏瘫患者在坐-站转移时，调整足位可以改变双下肢负重的对称性及人体姿势的稳定性。 5.2健足置后有利于提高脑卒中偏瘫患者坐-站转移的稳定性。 5.3患足置后下坐-站转移训练有利于脑卒中偏瘫患者患侧下肢功能的恢复。 5.4脑卒中偏瘫患者在完成坐-站转移时双下肢负重的对称性越高，姿势稳定性就越好。
[Abstract]:PurposeTo investigate the effects of different foot positions on the stability of sit-station metastasis and lower limb weight loading in stroke patients with hemiplegia.MethodThe test of sit-station transfer was completed under 3 kinds of foot position.The AL-080 gait and balance function training evaluation system was used to measure the time when the subjects completed the sit-station transfer, the difference of the weight bearing of the lower limbs and the amplitude of the wobble of the center of gravity on the coronal plane.ResultThe average load of healthy foot [59.12 卤2.71U], the average load of foot [40.88 卤2.71U] and COGX [18.24 卤5.41g] and COGX [3.58 卤0.76)cm] were significantly higher than those of PFP (P < 0.05).Compared with PFP in 2.NPFP, the differences were statistically significant (P < 0.05), and were significantly higher than those at 10 掳of ankle flexion (P < 0.05), except for the time required for sit-station transfer (P < 0.05).3.Compared with the control group at UDFP, all the indexes increased or decreased in varying degrees at 10 掳dorsiflexion of the ankle (P < 0.05), except for the time required for sit-station transfer, there were significant differences between the remaining indexes and those at UDFP (P < 0.05).Compared with the experimental group, all the indexes in the control group were significantly different from those in the experimental group (P < 0.05).4.Conclusion5.1 when stroke hemiplegia patients transfer from sitting to station, adjusting foot position can change the symmetry of lower extremity load and the stability of human posture.5.2 healthy foot placement can improve the stability of sit-station metastasis in stroke patients with hemiplegia.5.3 the lower extremity function of stroke patients with hemiplegia can be recovered by the training of lower limb transfer after foot placement.5.4 the higher the symmetry of lower extremity load, the better the postural stability of stroke hemiplegic patients.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R743.3

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