摘要
目的 探讨踝足矫形器 (anklefootorthoses ,AFO)能否减轻偏瘫患者异常的步态模式。方法 1 0 6例偏瘫患者被随机分为踝足矫形器使用组 (52例 )和不使用组 (54例 )。两组患者均接受神经科常规的治疗及康复训练 ,并在康复训练前及康复训练 1个疗程后分别对两组患者的患侧踝关节运动功能、踝关节痉挛状态、站立平衡、步行能力以及下肢功能进行详细评定 ,所得结果进行统计学分析。结果 经过 1个疗程的观察 ,患侧踝关节痉挛状态两组患者均有所降低。训练后踝足矫形器使用组踝关节痉挛状态Ⅰ、Ⅰ + 级为 40例 ,Ⅱ、Ⅲ、Ⅳ级为 1 2例 ,而对照组分别为 2 7例和 2 7例 ,踝足矫形器使用组较对照组降低明显 (P <0 .0 5)。两组患者双足、患侧单足站立平衡功能及步行能力均有所改善。训练后踝足矫形器使用组行走时伴有偏瘫模式为 2 4例 ,不伴有偏瘫模式为 2 3例 ,而对照组分别为 37例和 7例 ,踝足矫形器使用组较对照组改善明显 (P <0 .0 1 )。患侧踝关节运动功能、下肢功能两组患者均有所提高。训练后踝足矫形器使用组踝关节运动功能 1、2级为 1 5例 ,3、4、5级为37例 ,而对照组分别为 1 9例和 35例 ,踝足矫形器使用组较对照组提高程度不明显 (P >0 .0 5)。结论康复训练同时配合踝足矫形器治疗可明显减轻偏瘫患者?
Objective To observe the effect of ankle foot orthoses (AFO) on improving the abnormal gait pattern in hemiparetic patients Methods 106 hemiparetic patients were randomly divided into two groups. AFO was used in one group (52 cases) and not in the control group (54 cases). Both of them accepted conventional physical therapy. Motor function of affected ankle joint and lower extremities, spastic state of ankle joint, standing balance and walking ability were evaluated on each case before and after rehabilitation Results At the end of the trial, spastic state of ankle joint in both groups were decreased. 40 cases reached to degree of ⅠorⅠ + of spastic state and 12 cases to Ⅱ, Ⅲ or Ⅳ in the AFO used group,while the number of cases in the control group were respectively 27 and 27. The effects in AFO used group showed more significant than in the control group ( P <0.05). Standing balance on single foot and both feet and the walking ability were improved in both groups. 24 cases walked with and 23 without the hemiparetic gait pattern in the AFO used group, while in the control group the number of cases were respectively 37 and 7. The effect in AFO used group showed more significant than in the control group ( P <0 01). Motor function on affected ankle joint and lower extremities were improved in both groups. 15 cases reached to a degree of 1 or 2 on motor function of ankle and 37 cases to 3,4 or 5 in the AFO used group while the number of cases were respectively 19 and 35 in the control group . The effect in AFO used group did not show more significant than in the control group ( P >0.05) Conclusion Physical therapy combined with ankle foot orthoses was beneficial to improving the abnormal gait pattern and decreasing the spastic state of ankle joint in hemiparetic patients. However, it might not affect the motor function of ankle joint and lower extremities.
出处
《中华神经科杂志》
CAS
CSCD
北大核心
2003年第2期122-125,共4页
Chinese Journal of Neurology
