台阶训练对偏瘫患者患侧动态负重及行走的影响.pdfVIP

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 [1] 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 。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