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《运动想象对脑卒中患者偏瘫步态和步行能力的影响-免费》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、ChineseJournalofRehabilitationMedicine,Oct.2010,Vol.25,No.10·临床研究·运动想象对脑卒中患者偏瘫步态和步行能力的影响121,431徐光青兰月黄东锋裴中毛玉瑢摘要目的:探讨运动想象对脑卒中患者步态的时间与空间参数和步行能力的影响。方法:选择34例慢性偏瘫患者分为治疗组(n=18)和对照组(n=16),采用运动解析系统评测运动想象前后及12周随访时的最大步行速度、步态时相和时间-空间参数。结果:运动想象治疗前后及第12周随访时,最大步行速度、步态时间-空间参数、时相参数和步态不对称指数差异均有显著性意义(P<0.01),治疗
2、6周后与对照组比较差异也有显著性意义(P<0.05)。PostHoc检验,治疗前与12周随访时比较,步频、步幅、健侧步长和不对称指数差异有显著性意义(P<0.05);与治疗第3周比较,所有评价指标差异有显著性意义(P<0.05);与第6周比较,除双腿支撑期外,其他参数差异均有显著性意义(P<0.05);治疗第6周和12周随访时比较,只有不对称指数差异有显著性意义(P<0.01)。结论:运动想象可以改善偏瘫步态时间-空间和时相参数,矫正步态不对称,提高步行能力。关键词运动想象;步态;步行周期;步速;脑卒中中图分类号:R493,R742.3文献标识码:A文章编号:1001-1242(
3、2010)-10-0942-05Thestudyoneffectofmotorimageryongaitandwalkingabilityrehabilitationinpatientswithstrokehemiparesis/XUGuangqing,LANYue,HUANGDongfeng,etal.//ChineseJournalofRehabilitationMedicine,2010,25(10):942—946AbstractObjective:Toquantitativelyanalyzetheeffectofmotorimagery(MI)onmaximumwal
4、kingspeedandgaitparame-tersandtoexploretheuseofMIpracticetoimprovewalkingabilityandgaitstabilityinpost-strokepatientswithhemiparesis.Method:Atotalof34patientswithchronichemiparesisafterstrokewhocouldwalkatleast10mwithoutassis-tancewereselectedinthisstudy.Theyweredividedintotreatmentgroup(n=18
5、)andcontrolgroup(n=16).ThetreatmentgroupwastreatedwithMI,thecontrolgrouphadnonMI.Themaximumwalkingspeed,gaittemporal-distanceparametersandgaitasymmetryindexwereexaminedusingthemotionanalysissystem.Result:AfterMIpracticeandatthe12thweekfollow-upthepositiveeffectsonhemiplegicgaitparametersandas
6、ymmetryindex,improvingmaximumwalkingspeedweresignificant(P<0.01).After6-weekinterventionthereweresignificantdifferencesbetweentreatmentgroupandcontrolgrouponmaximumwalkingspeed,relativedouble-sup-porttime(P<0.05),andthehemiplegicgaitparameters,asymmetryindex(P<0.01).Pairwisecomparisonssuggest
7、edthereweresignificantdifferencesbetweenbeforeMItreatmentandthe12thweekfollow-uponlyonthestridelength,step-lengthofnonpareticlimbandgaitasymmetryindex(P<0.05).ThereweresignificantdifferencesbetweenbeforeMItreatmentandafter3-weekinterventionon
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