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《弹力带在偏瘫患者步态矫正训练中的临床应用》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、中国康复·2009年8月·第24卷第4期241DOI10.3870/zgkf.2009.04.010弹力带在偏瘫患者步态矫正训练中的临床应用顾昭华,蔡可书,王翔,许光旭,江钟立(江苏省人民医院康复科,南京210029)【摘要】目的:探讨运用弹力带训练方式对偏瘫患者异常步态改善的临床疗效。方法:选择符合治疗条件的48例偏瘫患者随机分为观察组和对照组各24例,均进行以Bobath技术、运动再学习为主的治疗,观察组加以弹力带抗阻、环绕式扭曲法进行步态矫正训练。训练前后分别对患侧下肢股四头肌、小腿三头肌肌张力进行改良Ashworth评分及下肢FMA评分,躯干
2、骨盆控制能力、患腿负重能力及步行能力进行评定和比较分析。结果:连续训练6周后,观察组患者股四头肌、小腿三头肌Ashworth评分明显低于对照组,下肢FMA评分和患肢负重能力较对照组明显提高(均P<0.05);躯干骨盆控制能力和步行速度也明显高于对照组(P<0.01)。结论:偏瘫患者康复过程中加用弹力带抗阻、环绕式扭曲法训练可显著矫正异常步态,提高步行能力。【关键词】弹力带;偏瘫;步态矫正【中图分类号】R49;R743.3ClinicalApplicationofElasticBandagesinGaitCorrectionofPatientswith
3、HemiplegiaGUZhao2hua,CAIKe2shu,WANGXiang,etal.DepartmentofRehabilitationMedicine,JiangsuProvincialPeople'sHospital,Nanjing210029,China【Abstract】Objective:Toexploretheclinicaleffectivenessofnewtherapymodeforimprovementofabnormalgait.Methods:Forty2eightpatientswithhemiplegiawerea
4、ssignedrandomlytoeithertheexperimentalgroup(n=24)orthecontrolgroup(n=24).ThepatientsincontrolgroupweretreatedwiththeBobathtechniqueandmotorrelearningpro2gram,andthoseinexperimentalgroupwithresistancetrainingandencircle2twistmethodwiththeelasticbandages.Allpatientsinthetwogroups
5、wereassessedwiththescaleoftheModifiedAshworthofelbowjoint(MAEJ),SimplifiedFugl2MeyerAssessment(S2FMA),thepelviscontrollability,theabilityofaffectedlimbsweight2bearingandwalkinga2bility,ambulationcapacity(walkingtimein10meters)immediateand6weeksafterthetreatments.Results:Thescor
6、esofMAEJandS2FMA,andtheabilityofaffectedlimbsweight2bearingintwogroupswereimprovedaftertreatmentfor6weeks,butthetherapeuticeffectivenessinexperimentalgroupwasmoresatisfactorythanincontrolgroup(P<0.05).Boththepelviscontrollabilityandwalkingvelocitywereincreasedsignificantlyinexp
7、erimentalgroupascomparedwithcontrolgroup(P<0.01).Conclusion:Theresistancetrainingandencircle2twistmethodwiththeelasticbandagescansignificantlyimprovethewalkingabilityofstrokepatientswithhemiplegia.【Keywords】elasticbandages;hemiplegia;gaitcorrection脑血管意外后并发偏瘫患者异常步态非常明显,科住院或门诊治疗后
8、已获得步行能力但步态异常的脑其异常的步态模式会影响步行的稳定性、安全性并过血管损伤致偏瘫患者48例,均符合全
