摘要
目的:研究"8"字绷带对偏瘫患者步态的影响。方法:将56例脑卒中偏瘫患者随机分为观察组28例和对照组28例,对照组患者采用运动再学习、Bobath技术为主的康复训练,观察组每日采用与对照组相同的训练方法,并在步行训练时使用弹力绷带20分钟。2组患者均于治疗前、后采用改良的Barthel指数(modified Barthel index,MBI)、Holden步行功能分级、10m最大步行速度分别评定患者的日常生活能力、步行功能、最大步行速度,同时采取足印法、摄像分析法对受试者进步态分析。结果:观察组患者使用"8"字绷带后,静止时踝关节背屈角度明显改善,由之前的平均-8.91±6.11°增至5.23±4.11°,足外翻角度平均由-15.22±5.12°增至2.52±2.34°。步行周期中摆动相踝关节背屈角度明显提高,触地初期踝关节背屈足跟着地。跨步长、步速明显提高,其中跨步长由0.47±0.18m增加至0.59±0.12m,步速由0.61±0.1,3m/s增加至0.78±0.08m/s。治疗后,2组患者Barthel指数、Holden步行功能分级、10m最大步行速度较组内治疗前有显著改善,差异有统计学意义(P<0.05)。治疗后观察组各项指标改善情况均显著优于对照组,差异有统计学意义(P<0.05)。结论:"8"字绷带可以明显改善偏瘫患者踝足关节下垂、内翻的程度从而改善步态及步行能力。
Objective：To research the influence of the “8”word bandage to the gait of Hemiplegia patients .Methods：56 cases of stroke hemiplegia patients were randomly divided into the observation group and the control group in 28 cases with 28 cases.Control group were treated by movement and learning ,Bobath technology primarily rehabilitation training .The observation group daily used with control group the same training method ,and in walk training used elastic bandage 20min.Two groups of patients in the treatment of all ,before and after the adoption of improved Barthel index （modified Barthel index ,MBI）,Holden walking function classification ,10 meters maxium walking velocity evaluation respectively the life ability ,walking function,maximum walking speed of the patients .At the same time,foot-prints method and the camera analysis were taken to the gait analysis .Results：The observation group patients used “8”word bandage ,rest ankle dorsiflexion Angle obviously improved ,by the before average 8.91＋/-6.11 degrees to 5.23＋/-4.11 degrees,the average foot valgus Angle by 15.22＋/-5.12 degrees to 2.52＋/-2.34 degrees.Walk cycle swing phase ankle dorsiflexion Angle is obviously im-proved and the touchdown initial ankle dorsiflexion foot to follow .Step by step length ,step speed obviously improved ,including long step by 0.47＋/-0.18m increased to 0.59＋/-0.12m,pace from 0.61＋/-0.13m/s increased to 0.78＋/-0.08m/s.After treatment,the Barthel index,Holden walking function classification ,10meters walking speed of the largest in the group of the patients of the two groups were remarkably improved ,compared to the before treatment .Their difference was statistically significant （ p 〈0.05 ） .Conclusion：“8”word bandage can significantly improve ankle foot joint prolapse and introversive degree of hemiplegia patients so as to improve the gait and the walking ability .
出处
《中国伤残医学》
2013年第7期55-58,共4页
Chinese Journal of Trauma and Disability Medicine
