中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2013年
9期
860-862
,共3页
桑德春%卢利萍%邵春霞%刘海荣%赵政
桑德春%盧利萍%邵春霞%劉海榮%趙政
상덕춘%로리평%소춘하%류해영%조정
脑卒中%老年%偏瘫%三维步态分析
腦卒中%老年%偏癱%三維步態分析
뇌졸중%노년%편탄%삼유보태분석
stroke%elderly%hemiplegia%3D gait analysis
目的探讨老年偏瘫患者的步态特点。方法采用三维步态分析仪对22例老年偏瘫患者进行步态分析。结果老年偏瘫患者的双侧下肢站立相百分比增大,健侧较患侧明显,摆动相百分比减小,步频减小;步长、跨步长及步速减小;头部前倾,躯干基本保持直立位;患侧上肢较健侧上肢的肩关节、肘关节角度变化范围缩小(P<0.05);患侧肩关节屈曲内收、肘关节屈曲角度较健侧增大(P<0.05);患侧髋膝踝关节角度变化范围较健侧缩小(P<0.05)。结论老年偏瘫患者步行功能下降,上肢痉挛,步行时出现视觉代偿。
目的探討老年偏癱患者的步態特點。方法採用三維步態分析儀對22例老年偏癱患者進行步態分析。結果老年偏癱患者的雙側下肢站立相百分比增大,健側較患側明顯,襬動相百分比減小,步頻減小;步長、跨步長及步速減小;頭部前傾,軀榦基本保持直立位;患側上肢較健側上肢的肩關節、肘關節角度變化範圍縮小(P<0.05);患側肩關節屈麯內收、肘關節屈麯角度較健側增大(P<0.05);患側髖膝踝關節角度變化範圍較健側縮小(P<0.05)。結論老年偏癱患者步行功能下降,上肢痙攣,步行時齣現視覺代償。
목적탐토노년편탄환자적보태특점。방법채용삼유보태분석의대22례노년편탄환자진행보태분석。결과노년편탄환자적쌍측하지참립상백분비증대,건측교환측명현,파동상백분비감소,보빈감소;보장、과보장급보속감소;두부전경,구간기본보지직립위;환측상지교건측상지적견관절、주관절각도변화범위축소(P<0.05);환측견관절굴곡내수、주관절굴곡각도교건측증대(P<0.05);환측관슬과관절각도변화범위교건측축소(P<0.05)。결론노년편탄환자보행공능하강,상지경련,보행시출현시각대상。
Objective To explore the characteristics of gait of old hemiplegic patients. Methods 22 old hemiplegic patients were investi-gated with Motion Analysis. Results The bilateral support phase increased, especially for the affected lateral. The swing phase decreased, as well as the frequency, step length, stride length and walking speed. Their heads flexed forward, but trunks remained upright. The motion of range of shoulder and elbow decreased in the affected lateral (P<0.05), and the angle of flexion and adduction in the affected shoulder and flexion in elbow increases (P<0.05). The motion of range of the affected hip, knee and ankle decreased (P<0.05). Conclusion The walking ability impaired in the old hemiplegic patients, with upper limbs spasticity, vision compensation, etc.