台阶训练对偏瘫患者患侧动态负重及行走的影响.docVIP

台阶训练对偏瘫患者患侧动态负重及行走的影响 The effect of step activity on dynamic weight-bearing of affected side and walking in hemiplegia patients 摘要：目的 讨论台阶训练对偏瘫患者患侧动态负重及行走的影响 方法 随机选取20名偏瘫患者，平均分为两组——对照组和实验组，让患者在训练前和训练两周后分别在平地行走16m，用摄像机摄像并计算出训练前后患者的患侧单足支撑时间、健侧步长、步速、步频，训练前患者的患侧步长 结果 训练后与训练前相比，实验组患者的患侧单足支撑时间、健侧步长、步速明显增加，步频无明显改变，对照组各项指标均没有明显改变 结论 台阶训练可以快速提高偏瘫患者患侧动态负重能力及行走能力。 关键词：台阶训练 偏瘫 动态负重 行走 Abstract:objective to examine the effect of step activity on dynamic weight-bearing of affected side and walking in hemiplegia patients methods Randomly selected 20 hemiplegia patients,divided into two groups averagely—control group and experimental group.Asked the patients to walk 16 metres on the ground before training and two weeks after training,got their video informations with a camera when they were walking,then calculated the support time of the affected foot only,the step length of the unaffected side,velocity and cadence before training and two weeks after training, the step length of the affected side before training.results compared the data of before training and after training,we can find that the support time of the affected foot only,the step length of the unaffected side and velocity have significantly increases in the experimantal group except the cadence.Indicators in the experimental group have no significant changes.conclusions step activity can rapidly increase the capacity of dynamic weight-bearing of affected side and walking in hemiplegia patients. Key words:step activity hemiplegia dynamic weight-bearing walking 前言 脑卒中和脑外伤造成的偏瘫患者最主要的特征就是患侧负重困难。因为患侧负重是稳定行走的前提条件，所以改善患侧负重能力是偏瘫患者康复的最重要的治疗目标之一[1]。之前，有很多关于这方面的研究。Ingela Marklund和Maria Klassbo研究了下肢大强度训练对卒中后病人的影响[2]。 Eun-young Yoo 和Bo-in Chung研究了视觉反馈加上理念训练对偏瘫病人对称负重训练的影响[3]。这些研究都旨在增加患者的静态负重能力，没有研究在行走中的动态负重。这导致患者在掌握了静态负重之后，不会直接应用到行走中，大大延长了患者的康复时间，增加了康复费用，浪费了有限的医疗资源。因此，寻找一种提高动态负重能力的训练方法迫在眉睫。本文就是为了研究台阶训练对偏瘫患者患侧动态负重的影响，以便提高患者的步行能力，缩短其康复时间，减少患者及社会的负担。 1资料和方法 1.1一般资料 选取南京大学医学院附属鼓楼医院20名偏瘫患者，符合以下条件：(1)发病后至少3个月；(2)患侧负重明显差，但能在安全平坦的道路上用或