摘要
目的 该设计是在数据可视化的基础上强化下肢肌力训练,在保证安全的前提下既能强化足踝稳定性和灵活性,通过训练时的数值反馈,对患者时时进行提醒和反馈。方法 该足踝训练器包括站立斜板、脚趾固定套等。根据患者体位指导患者完成前脚掌用力下踩(踝关节抗阻跖屈运动)和脚跟用力下踩(踝关节抗阻背伸运动)动作。3~4次/d,每次30 min。采用病例个案研究的形式验证该足踝训练仪的临床有效性,通过4周的干预发现患者下肢Fugl-Meyer评定量表评分、Berg平衡量表、用等速训练仪测量的峰力矩都有所提高,日常生活能力明显改善。结果 通过持续锻炼和反馈,4周干预后,对脑卒中患者Fugl-Meyer下肢评分25分提升至32分,Berg平衡量表评分由28分提高到43分,日常生活能力(ADL)评分33分提高到90分。此外,可在社区步行3 km,能完成洗衣做饭进食任务,生活达到完全自理。下肢损伤患者的伸肌峰力矩为24 N/m,屈肌峰力矩为32 N/m,膝关节屈伸肌力比(H/Q)为38%。左膝关节活动度为5°~50°,国际膝关节文献委员会(IKDC)评分15分,视觉模拟量表(VAS)评分4分,经过4周的踝抗阻训练后,伸肌峰力矩为32 N/m,屈肌峰力矩为38 N/m,H/Q比值为46%。左膝关节活动度达到3°~140°,IKDC评分提高至46分,VAS评分下降至2分。结论 基于数据可视化的足踝训练仪不仅可以强化脑卒中和下肢骨折患者下肢力量,提升运动表现能力,让患者的生活自理,具有临床实用价值。
【Objective】 This design is based on data visualization to strengthen lower limb muscle strength training,ensuring safety while enhancing ankle and foot stability and flexibility.Through numerical feedback during training,patients are constantly reminded and provided feedback.【Methods】 The ankle training device included a standing inclined plate and a toe fixing sleeve.Patients were guided to complete the actions of stepping down with the front foot(ankle joint resistance plantar flexion exercise) and stepping down with the heel(ankle joint resistance dorsiflexion exercise) according to their body position.The training was performed 3 to 4 times a day for 30 minutes each time.A case study was used to verify the clinical effectiveness of this ankle training device.After 4 weeks of intervention,the lower limb Fugl-Meyer score,Berg Balance Scale,peak torque measured by an isokinetic training device of patients were all improved,and their daily living ability was significantly improved.【Results】 After 4weeks of intervention,the Fugl-Meyer lower limb score of stroke patients increased from 25 to 32,the Berg Balance Scale score increased from 28 to 43,and the activity of daily living(ADL) score increased from 33 to 90.In addition,patients can walk 3 km in the community and complete laundry and cooking tasks,achieving full self-care.The extensor peak torque of patients with lower limb injuries was 24 N/m,the flexor peak torque was 32 N/m,and the hamstring/quadriceps(H/Q) ratio was 38%.The range of motion of the left knee joint was 5° to 50°,the International Knee Document Commitee(IKDC) score was 15 points,and the Visual Analogue Scale(VAS) score was 4 points.After 4 weeks of ankle resistance training,the extensor peak torque was 32 N/m,the flexor peak torque was 38 N/m,and the H/Q ratio was 46%.The range of motion of the left knee joint reached 3° to 140°,and the IKDC score increased to 46 points,and the VAS score decreased to 2 points.【Conclusion】 The ankle training device based on data visualization can not only strengthen the lower limb strength of stroke and lower limb fracture patients,improve their motor performance ability,and enable them to live independently,which has clinical practical value.
作者
王阳
周丽丽
苏颖
黄钰铭
高俊丽
龙芳
WANG Yang;ZHOU Lili;SU Ying;HUANG Yuming;GAO Junli;LONG Fang(Department Of Rehabilitation Medicine,Hanzhong Central Hospital,Hanzhong,Shaanxi 723000,China)
出处
《中国医学工程》
2025年第2期33-36,共4页
China Medical Engineering
关键词
足踝复合体
本体感觉
下肢骨折
脑卒中偏瘫
数据可视化
ankle complex
proprioception
lower limb fracture
stroke hemiplegia
data visualization
