功能性电刺激辅助步行设备对脑卒中足下垂患者步态时空参数的影响

关键词：功能性电刺激辅助步行设备  脑卒中  足下垂  步态  时空参数

Keywords:functional electrical stimulation assisted walking device  stroke  foot drop  gait  temporal-spatial parameter

摘要：

      摘要 目的：观察应用功能性电刺激辅助步行设备（FES-AWD）对脑卒中足下垂患者步态时空参数的影响，为临床治疗提供理论依据。 方法：9例脑卒中足下垂患者在常规康复治疗基础上，增加步态训练矫正仪辅助下的步行训练，每天2次，每次20min，每周5d，共4周；分别于治疗开始前、治疗1周后和治疗4周后利用三维步态分析系统分析患者佩戴步态训练矫正仪前后的步态时-空参数。 结果：①与自由步行相比，佩戴步态训练矫正仪（关闭开关）对患者的步态时空参数无显著影响；②3次访视中，与自由步行相比，佩戴步态训练矫正仪（开启开关）均能显著提升足下垂患者的步态时空参数。 结论：FES-AWD可以即刻改善脑卒中足下垂患者的步态，且可以排除心理影响，以及佩戴设备所产生的各种不利生理影响。

Abstract:

      Abstract Objective：To observe the effects of functional electrical stimulation assisted walking device（FES-AWD） on gait temporal-spatial parameters in stroke patients with foot drop,and provide theoretical basis for clinical treatment. Method：Based on routine medical treatment and rehabilitation therapy, 9 stroke patients with foot drop received FES-AWD(GYKF-I) on affected side twice a day, 20 minutes per time, 5 days per week, for 4 weeks. All patients received 3-D gait analysis both with and without GYKF-I for three times: before treatment, one week and four weeks after treatment. Result：①There was no significant difference between free walk and walk with GYKF-I (power off). ②In all three times visits, contrasting to free walk, walk with GYKF-I (power on) can significantly improve gait temporal-spatial parameters of the stroke patients with foot drop. Conclusion：FES-AWD can improve stroke with foot drop patient's gait instantly, and it has no psychological or physiological influence on patients.