摘要
应用临床步态分析方法,测定了50例健康中老年人,44例中风患者的时间距离值。测量参数是:步幅长、步速、步频、步角、步宽及跨步长/下肢长比值。同时按照行走能力对患者进行分级分组。结果表明:中风患者与健康者TD值有显著差异。即使行走能力达到5级者也是如此(P<0.01或0.05)。除步角、步宽外,不同行走功能分级者TD值组间差异显著(P<0.05)。故中风患者治疗目标应该以其本身TD值结合功能分级为基础较妥;所测7项参数中步速反映步态量的改善程度,而步角、步宽则反映步态质的变化,这三项参数的测定尤为重要。
The time-distance(TD)gait values of 50 middle-aged healthy subject and 44 apoplectic patients were compared.All patients were divided into 4 or 3 grades according to Massachusetts General Hospital Functional Ambulation Classification.It.was measured that stride length,step length,cadence,velocity,foot angle,foot width and ratio of stride length to lower extremity length(SL:LEL).The author suggested that apoplectic gait assessment should be based on values of themselves and on functional ambulation classification rather than healthy subjucts. The functional classification was related signicfiantly to most of TD values.Of the 7 TD values examined velocity could reflect the quantitative gait changes,whereas foot angles and foot width mean gait qualitative improvement.Therefore the 3 factors were especially important among measuring TD values.
出处
《中国康复医学杂志》
CAS
CSCD
1991年第4期157-160,共4页
Chinese Journal of Rehabilitation Medicine
关键词
中风
步态
时间距离值
Gait
Temporal-distance value
Apoplexy
