运用步态分析系统评价益阳灸对中风后痉挛性偏瘫步态的疗效

发布时间：2018-06-11 13:58

本文选题：中风 + 痉挛性偏瘫步态　；参考：《时珍国医国药》2017年10期

【摘要】：目的观察益阳灸疗法对中风后痉挛性偏瘫步态的临床疗效。方法对60例中风后痉挛性偏瘫步态的患者随机分为对照组和治疗组各30例,两组均给予常规的内科治疗和常规康复训练,治疗组在此基础上加益阳灸疗法,1次/周,每次60min,两组疗程均为8周。分别于治疗前、治疗8周后应用Gait Watch步态分析系统对患者进行步态分析测试,采集时空参数和下肢关节运动学参数进行比较,所有受试者由同一医师进行2次评估。结果两组在步态周期、步长、步频、步速、支撑相、摆动相等时空参数及髋膝关节最大屈曲度及伸展度和其平均角速度等方面的下肢运动学参数方面都有改善,治疗8周后与治疗前比较,差异均有显著性意义(P0.05),治疗后,两组患者的步频、步速显著升高,步态周期和患侧支撑相均缩短,患侧摆动相延长。患侧髋膝关节的最大伸展度及最大屈曲度受限改善(P0.001),髋膝关节屈伸运动的平均角速度提高(P0.001),患者步行能力明显提高,且治疗组明显高于对照组(P0.01)。结论益阳灸疗法可改善中风后患者的痉挛性偏瘫步态,而且步态分析系统对痉挛性偏瘫步态有较高的敏感性。
[Abstract]:Objective To observe the clinical effect of Yiyang moxibustion therapy on the gait of spastic hemiplegia after apoplexy. Methods 60 patients with spastic hemiplegia after apoplexy were randomly divided into the control group and the treatment group (30 cases each). The two groups were given conventional medical treatment and routine rehabilitation training. On this basis, the treatment group was treated with Yiyang moxibustion therapy, 1 times per week, each 60min, two groups. The course of treatment was 8 weeks. After 8 weeks of treatment, the Gait Watch gait analysis system was used to test the patients' gait analysis. The time and space parameters and the kinematics parameters of the lower limb joints were compared. All the subjects were evaluated by the same physician for 2 times. Results the two groups were in the gait cycle, step length, step frequency, step speed, support phase, and swing equal. After 8 weeks of treatment, the difference was significant (P0.05). After treatment, the step frequency of the two groups was significantly higher, the gait cycle and the affected side of the affected side were shortened, and the swinging phase in the side of the patient was affected. The maximum extension and maximum flexion degree of the knee joint of the affected side were improved (P0.001), the average angular velocity of the flexion and extension movement of the hip and knee increased (P0.001), the walking ability of the patients was obviously improved, and the treatment group was significantly higher than the control group (P0.01). Conclusion Yiyang moxibustion can improve the spastic hemiplegic gait of the patients after apoplexy, and the gait analysis The system is highly sensitive to spastic hemiplegia gait.
【作者单位】：河南中医药大学第一附属医院康复中心;河南中医药大学;
【基金】：河南省中医临床学科领军人才培育计划资助项目(2100202) 国家中医临床研究基地业务建设第二批科研专项课题(JDZX2015314)
【分类号】：R246.6

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