早期使用踝足矫形器对脑卒中偏瘫患者步行周期及时相的影响

关键词：脑卒中 偏瘫 早期康复 踝足矫形器 步行能力 步行周期

Keywords:stroke  early rehabilitation  ankle foot orthosis  gait cycle  walking ability

摘要：

      目的：探讨早期使用踝足矫形器（AFO）对脑卒中偏瘫患者步行能力的促进作用及因素分析。方法：将早期脑卒中偏瘫患者21例随机分为实验组11例和对照组10例，实验组采用AFO与常规康复干预，对照组仅予以常规康复干预治疗。发病3个月时，使用索尼PC330E型数码摄像机录下患者在明显标记的步行道上行走过程，用Quick Time中文版6．0播放软件播放，经慢放、图像分解获得步态周期和各时相的数据。结果：两组患者在治疗前的一般资料差异无显著性意义（P〉0．05）；3个月时，两组的步态周期和患肢／健肢步长（空间不对称性）之间的差异有显著性意义（P〈0．05）。结论：早期使用AFO可以促进脑卒中偏瘫患者步态周期及各时相的改善。

Abstract:

      Objective:To investigate the effect of using the AFO in the early time on the walking ability in the hemiplegic stroke patients. Method: Twenty-one hemiplegic stroke patients were randomly divided into experiment group (11 cases) and control group (10 cases). The patients in the experimental group underwent the AFO and the conventional rehabilitation intervention. The others in the control group only received the conventional rehabilitation programme. At the time of the 3-month follow-up, the Sony PC 330E digital video camera was used to record the walking progress on the marked walkway and the QuickTime 6.0(Chinese version) player programme was utilized. The data of gait cycle and its phases could be obtained by slowly playing and picture analysis. Result: There was no significant difference in the general data between the two groups(P>0.05).At the time of the 3-month follow-up, there was significantly statistical difference in gait cycle and the ratio of the walk stride of the weak leg vs. the sound one between the two groups(P<0.05).Conclusion: Using the AFO in the early time can contribute to the improvements of gait cycle and its phases in the hemiplegic stroke patients.