CAJ | 학술논문

目的：探讨弹性绷带配合松动坍塌试验对脑卒中偏瘫患者步行能力的影响。方法选择2011年7月-2012年7月在本院康复医学科治疗的脑卒中初次发病患者38例，随机分为观察组（19例）和对照组（19例），两组均采用常规康复治疗，观察组在常规康复治疗的基础上针对性给予松动坍塌试验的手法治疗，配合使用AQ踝足弹性绷带，通过8字形固定，弹性回缩牵引，使内翻、下垂足回至功能位进行行走训练。于治疗前、治疗后12周分别对功能性步行量表（ FAC）、肢运动功能评价量表（ FMA）、10m步行测量步长、步速进行评定。结果两组治疗前后FAC评分比较，差异均有统计学意义（ P﹤0.05）；观察组治疗后FAC评分提高优于对照组，差异有统计学意义（ P﹤0.05）。两组治疗后FMA下肢评分均提高（P﹤0.05）；但两组间比较差异无统计学意义（P﹥0.05）。观察组治疗后步速、跨步长均较治疗前提高，差异有统计学意义（ P﹤0.05），对照组治疗前后步速、跨步长比较，差异无统计学意义（P﹥0.05）；观察组步速、跨步长较对照组提高，差异有统计学意义（P﹤0.05）。结论弹性绷带配合松动坍塌试验手法治疗，能更有效的改善脑卒中偏瘫患者步行能力。
목적：탐토탄성붕대배합송동담탑시험대뇌졸중편탄환자보행능력적영향。방법선택2011년7월-2012년7월재본원강복의학과치료적뇌졸중초차발병환자38례，수궤분위관찰조（19례）화대조조（19례），량조균채용상규강복치료，관찰조재상규강복치료적기출상침대성급여송동담탑시험적수법치료，배합사용AQ과족탄성붕대，통과8자형고정，탄성회축견인，사내번、하수족회지공능위진행행주훈련。우치료전、치료후12주분별대공능성보행량표（ FAC）、지운동공능평개량표（ FMA）、10m보행측량보장、보속진행평정。결과량조치료전후FAC평분비교，차이균유통계학의의（ P﹤0.05）；관찰조치료후FAC평분제고우우대조조，차이유통계학의의（ P﹤0.05）。량조치료후FMA하지평분균제고（P﹤0.05）；단량조간비교차이무통계학의의（P﹥0.05）。관찰조치료후보속、과보장균교치료전제고，차이유통계학의의（ P﹤0.05），대조조치료전후보속、과보장비교，차이무통계학의의（P﹥0.05）；관찰조보속、과보장교대조조제고，차이유통계학의의（P﹤0.05）。결론탄성붕대배합송동담탑시험수법치료，능경유효적개선뇌졸중편탄환자보행능력。
Objective To study clinical efficacy of elastic bandage coordinated with loosening collapse test for walking ability of hemiplegic stroke patients. Methods 38 patients with hemiplegic stroke in our hospital from July 2011 to July 2012, which were randomly divided into observation group(19 cases)and control group(19 cases). Both groups were given conven-tional rehabilitation,observation group was further targeted given manual therapy of loosening collapse test,and coordinated with the use of AQ ankle-foot elastic bandage through being 8-shaped fixed and recoil traction in order to relocate varus foot or drop foot back to the function site to do walking training. Evaluating the effect by using FAC,FMA and measuring the patients′step length and pace through 10 meters walking test before treatment and 12 weeks after treatment. Results The FAC scores of the two groups before and after treatment were compared,the differences were statistically significant( P﹤0. 05),the FAC scores of observation group after treatment were better than control group,the differences were statistically significant(P﹤0. 05). The FAM scores of the two groups before and after treatment were compared, the differences were statistically significant ( P ﹤0. 05 ),but the FAM scores after treatment of the two groups were compared,the differences were not statistically significant( P﹥0. 05). Step length and pace of observation group after treatment were higher than before,the differences were statistically significant(P﹤0. 05),step length and pace of control group before and after treatment were compared,the differences were not statistically significant(P﹥0. 05),step length and pace after treatment of observation group were higher than control group, the differences were statistically significant(P﹤0. 05). Conclusion Elastic bandage coordinated with manual therapy of the loosening collapse test has good role in improving walking ability for hemiplegic stroke patients.