CAJ | 학술논문

目的研究一种预防和有效矫正异常步态的康复方法,观察其临床效果并进行机制探讨.方法将60例脑梗死偏瘫患者分为预防组和矫正组,每组30例.2组均采用三阶段康复方法治疗,分别在治疗前后进行如下功能评定:rnsl-Meyer下肢运动功能评分、运动程序信号的强度和比例、行走时步幅、患肢负重时间及关节活动度,同时对2组数据进行统计学分析.结果治疗后预防组26例无异常步态,行走模式正常;4例有轻度划圈步态,佩戴足托后得到矫正.矫正组全部患者步态得到明显矫正,但6例仍需足托辅助.治疗后2组患者Fugl-Meyer下肢运动功能评分、运动程序信号的强度和比例、行走时步幅和患肢负重时间以及关节活动度与治疗前相比差异均有统计学意义(均P<0.01).结论神经训导三阶段康复方法是预防和矫正偏瘫患者下肢异常运动模式的有效方法.
목적 연구일충예방화유효교정이상보태적강복방법,관찰기림상효과병진행궤제탐토.방법 장60례뇌경사편탄환자분위예방조화교정조,매조30례.2조균채용삼계단강복방법치료,분별재치료전후진행여하공능평정:rnsl-Meyer하지운동공능평분、운동정서신호적강도화비례、행주시보폭、환지부중시간급관절활동도,동시대2조수거진행통계학분석.결과 치료후예방조26례무이상보태,행주모식정상;4례유경도화권보태,패대족탁후득도교정.교정조전부환자보태득도명현교정,단6례잉수족탁보조.치료후2조환자Fugl-Meyer하지운동공능평분、운동정서신호적강도화비례、행주시보폭화환지부중시간이급관절활동도여치료전상비차이균유통계학의의(균P<0.01).결론 신경훈도삼계단강복방법시예방화교정편탄환자하지이상운동모식적유효방법.
Objective To investigate a kind of rehabilitation approach that can prevent and rectify abnormal gait and to observe its clinical effectiveness and to explore its mechanism. Methods Sixty hemiplegic patients were divided into two groups, that were 30 cases each. The treatment was done by three stage methods. Before and after the treatment, the functional evaluation were done respectively as follows; lower extremity Fugl-Meyer, pace width, the weight loading time of the affected limb, the joint range of motion, the magnitude and ratio of the motor program signals. The data was analyzed and compared statistically. Results In prevention group, 26 patients recovered normal gait, and 4 had lightly hauling gait, but it can be rectified by using foot support. In the rectification group, the entire patients recovered with normal gait except 6 patients who needed the help of foot support. There were significant differences between the data of the lower limb Fugl-Meyer, pace width, weight loading time of the affected limb, range of motion, signal strength and proportion of motor program before and after the treatment(P <0. 01). Conclusion The three stage neurological training rehabilitation technique is an effective method of preventing and rectifying abnormal gait.