任务导向性训练对偏瘫患者足底压力的影响
发布时间:2018-05-13 12:49
本文选题:任务导向性训练 + 偏瘫 ; 参考:《南京师范大学》2014年硕士论文
【摘要】:目的:观察任务导向性训练方法对偏瘫患者足底压力的影响,探讨偏瘫患者步行功能恢复的有效途径。 方法:本研究以一名中风偏瘫患者为研究对象,根据询证医学的要求,从患者的具体病征出发,用任务导向性康复训练作为干预手段,以足底压力的变化来评价患者的康复程度,分别于干预前、中、后三次用足底压力测试系统采集患者的足底平面压力图,压力峰值、足底十区域压力曲线、垂直压力合曲线、足底各时相显示图和压力中心轨迹(cop)等数据,进行干预前、中、后的比较分析。 结果: 1.干预后,患侧“拖趾”现象消失;患侧足跟峰值增高,十区域压力峰值大小的顺序和垂直压力合曲线无明显变化,压力中心轨迹在Y轴方向上靠近足跟位置; 2.与干预前测试的峰值比较,干预中期测试,健侧除了第2-5趾其他九个区域的压力峰值都降低,干预后测试,健侧除了第1趾和第2-5趾其他八个区域的压力峰值都降低了,干预后两次测试足底垂直压力合曲线呈双峰特征; 3.两侧足十区域的压力峰值在干预前测试差值较大,干预后差值变小。 结论: 1.任务导向性康复训练能改善足下垂,提高下肢关节的协调能力; 2.任务导向性治疗能改善健侧与患侧的承重平衡关系; 3.一对一的康复训练具有实效性; 4.足底压力测量技术对于指导康复治疗方案的制定、疗效的评估具有理论及现实指导意义。
[Abstract]:Objective: to observe the effect of task-oriented training on plantar pressure in hemiplegic patients and to explore the effective ways to recover walking function of hemiplegic patients. Methods: in this study, a stroke hemiplegic patient was selected as the research object. According to the requirement of inquiry and syndrome medicine, the task-oriented rehabilitation training was used as the intervention method according to the specific symptoms of the patients. According to the change of plantar pressure, the recovery degree of patients was evaluated. The plantar pressure map, peak pressure, plantar pressure curve, vertical pressure curve and vertical pressure curve were collected by plantar pressure test system before, during and after intervention. The data of plantar phase display and pressure center locus were compared before, during and after intervention. Results: 1. After intervention, the phenomenon of "dragging toes" disappeared, the peak value of heel increased, the order of peak pressure in ten regions and the vertical pressure curve did not change, and the track of pressure center was close to the heel in Y axis. 2. Compared with the peak value of pre-intervention test, the peak pressure in nine regions of the healthy side except the 2-5 toe was decreased in the intervention mid-term test. After intervention, the peak pressure of the healthy side except the first toe and the 2-5 toe were all decreased, and after the intervention, the peak pressure of the healthy side in the other eight regions except the first toe and the 2-5 toe were all decreased. After intervention, the plantar vertical pressure curve showed a bimodal feature. 3. The pressure peak value of the two side foot region was larger before intervention and smaller after intervention. Conclusion: 1. Task-oriented rehabilitation training can improve the foot droop and the coordination ability of lower extremity joints. 2. Task-oriented treatment can improve the balance between the healthy side and the affected side. 3. One-to-one rehabilitation training has practical effect; 4. Plantar pressure measurement is of theoretical and practical significance in guiding the formulation of rehabilitation therapy and evaluation of curative effect.
【学位授予单位】:南京师范大学
【学位级别】:硕士
【学位授予年份】:2014
【分类号】:R743.3
【参考文献】
相关期刊论文 前1条
1 汤澄清;;青年与中年人赤足行走足底压力参数的比较[J];中国人民公安大学学报(自然科学版);2012年01期
,本文编号:1883214
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