踝关节贴扎对偏瘫患者足下垂的作用及时效性研究
发布时间:2017-12-31 21:07
本文关键词:踝关节贴扎对偏瘫患者足下垂的作用及时效性研究 出处:《哈尔滨体育学院》2015年硕士论文 论文类型:学位论文
【摘要】:踝关节贴扎的方法在运动损伤中应用较多,多用于踝关节不稳,固定踝关节,防止踝关节内翻。偏瘫患者对于足部下垂的矫正主要采用踝足矫形器,但是踝足矫形器既需要专门的定制造价高,又因为材料坚硬容易引起皮肤破损,所以通过应用踝关节贴扎的方法进行偏瘫患者康复的矫正,希望通过这种技术的迁移能够使偏瘫患者在获得更好康复的同时,减少其痛苦。本文通过文献资料法、专家访谈法、数理统计法和实验法对偏瘫患者患侧踝关节进行贴扎,矫正足下垂,并运用二维图像测角度,运用Footscan足底压力系统测量偏瘫患者的步态指标,通过贴扎前的一组测试(3次每组)和贴扎后的多组(3次每组)测试,找出踝关节贴扎的失效点,通过贴扎前后的对比,说明贴扎的作用。得到以下结论:(1)踝关节1次性闭锁式编篮贴扎法能够限制偏瘫患者主动和被动的跖屈、背屈、内翻、外翻角度,对偏瘫患者的足下垂控制效果显著。(2)偏瘫患者在步态训练课的支持有效时间,根据多数据综合分析,为60分钟,可在此基础上,根据运动强度增减相应时间。(3)踝关节贴扎对于康复训练的偏瘫患者有明显的效果,可以在康复过程中尝试应用。(4)偏瘫患者的步态呈现出左右步幅不等、双脚支撑时间延长、单脚独立支撑时间变短、步宽变大,步长和步幅均低于正常人,步速减慢的特点。(5)偏瘫患者的步态主要通过各种代偿来完成步行动作。(6)贴扎有利于偏瘫患者左右步态的对称。
[Abstract]:The method of ankle joint sticking and ligation is more applied in motion injury, mostly used in ankle joint instability, fixation of ankle joint and prevention of ankle varus. Ankle foot orthosis is mainly used in patients with hemiplegia for foot drooping. But ankle foot orthosis not only needs special custom cost, but also because the material is hard and easy to cause skin breakage, so the method of ankle joint sticking is used to correct the rehabilitation of hemiplegia patients. It is hoped that the migration of this technique can help the hemiplegic patients to recover better and reduce their pain at the same time. The ankle joint of hemiplegic patients was taped by mathematical statistics and experimental methods, and the gait index of hemiplegic patients was measured by Footscan plantar pressure system. The failure points of ankle joint sticking were found out by 3 times of each group before and 3 times each group) and 3 times per group after sticking, and the comparison between before and after sticking was carried out. The following conclusion is drawn: 1) the ankle joint with 1 time atresia can restrict the active and passive angle of metatarsal flexion, dorsiflexion, varus and valgus in hemiplegic patients. The effect of foot droop control on hemiplegic patients is remarkable. 2) the effective time of support in gait training class of hemiplegic patients is 60 minutes according to the comprehensive analysis of multiple data, which can be on this basis. According to the movement intensity increase and decrease the corresponding time. 3) the ankle joint patch has the obvious effect to the rehabilitation training hemiplegia patient. The gait of patients with hemiplegia can be used in rehabilitation. The gait of patients with hemiplegia varies from left to right, the support time of feet is prolonged, the independent support time of one foot becomes shorter, the step width becomes larger, the step length and stride size are lower than that of normal people. (5) the gait of hemiplegic patients is mainly completed by various compensations. 6) Patch is beneficial to the symmetry of left and right gait of hemiplegic patients.
【学位授予单位】:哈尔滨体育学院
【学位级别】:硕士
【学位授予年份】:2015
【分类号】:R873
【参考文献】
相关期刊论文 前1条
1 宋兰欣,魏国荣,李红玲,黄明威,黄力平,曲镭;早期康复对脑卒中患者偏瘫步态的影响[J];中国康复医学杂志;2001年01期
,本文编号:1361458
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