中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2013年
30期
5551-5556
,共6页
骨关节植入物%骨与关节学术探讨%踝足矫形器%脑卒中%偏瘫%步态分析%步行功能%步行速度%步态稳定性%步行能力%平衡%生存质量
骨關節植入物%骨與關節學術探討%踝足矯形器%腦卒中%偏癱%步態分析%步行功能%步行速度%步態穩定性%步行能力%平衡%生存質量
골관절식입물%골여관절학술탐토%과족교형기%뇌졸중%편탄%보태분석%보행공능%보행속도%보태은정성%보행능력%평형%생존질량
bone and joint implants%academic discussion of bone and joint%ankle-foot orthosis%stroke%hemiplegia%gait analysis%walking function%walking speed%gait stability%walking ability%balance%quality of life
背景：脑损伤和脑卒中存活者有相当部分遗留有足下垂内翻畸形，需要借助于踝足矫形器进行治疗。目的：探讨早期使用前置式踝足矫形器对脑卒中偏瘫患者步行功能的影响及优势。方法：回顾分析常熟市第二人民医院2008年6月至2009年10月治疗的54例脑卒中偏瘫患者的临床资料，佩戴前置式踝足矫形器为前置组28例和佩戴后置式踝足矫形器为后置组26例。所有患者进行10 m最大步行速度测试，每天观察两组患者步行功能恢复情况。结果与结论：所有患者在观察期间，无退出及死亡，前置式踝足矫形器组日常生活能力的 Barthel 指数评分(60.0±12.9)明显高于后置踝足矫形器组日常生活能力的 Barthel 指数评分(59.1±10.9)，但两组间没有显著差异(P>0.05)，在10 m最大步行速度测试中，前置式踝足矫形器组步行速度(39.6±11.6) m/min较后置踝足矫形器组步行速度(33.0±12.4) m/min明显加快(P<0.05)。说明前置式踝足矫形器更合适用于脑卒中偏瘫患者改善步行速度。
揹景：腦損傷和腦卒中存活者有相噹部分遺留有足下垂內翻畸形，需要藉助于踝足矯形器進行治療。目的：探討早期使用前置式踝足矯形器對腦卒中偏癱患者步行功能的影響及優勢。方法：迴顧分析常熟市第二人民醫院2008年6月至2009年10月治療的54例腦卒中偏癱患者的臨床資料，珮戴前置式踝足矯形器為前置組28例和珮戴後置式踝足矯形器為後置組26例。所有患者進行10 m最大步行速度測試，每天觀察兩組患者步行功能恢複情況。結果與結論：所有患者在觀察期間，無退齣及死亡，前置式踝足矯形器組日常生活能力的 Barthel 指數評分(60.0±12.9)明顯高于後置踝足矯形器組日常生活能力的 Barthel 指數評分(59.1±10.9)，但兩組間沒有顯著差異(P>0.05)，在10 m最大步行速度測試中，前置式踝足矯形器組步行速度(39.6±11.6) m/min較後置踝足矯形器組步行速度(33.0±12.4) m/min明顯加快(P<0.05)。說明前置式踝足矯形器更閤適用于腦卒中偏癱患者改善步行速度。
배경：뇌손상화뇌졸중존활자유상당부분유류유족하수내번기형，수요차조우과족교형기진행치료。목적：탐토조기사용전치식과족교형기대뇌졸중편탄환자보행공능적영향급우세。방법：회고분석상숙시제이인민의원2008년6월지2009년10월치료적54례뇌졸중편탄환자적림상자료，패대전치식과족교형기위전치조28례화패대후치식과족교형기위후치조26례。소유환자진행10 m최대보행속도측시，매천관찰량조환자보행공능회복정황。결과여결론：소유환자재관찰기간，무퇴출급사망，전치식과족교형기조일상생활능력적 Barthel 지수평분(60.0±12.9)명현고우후치과족교형기조일상생활능력적 Barthel 지수평분(59.1±10.9)，단량조간몰유현저차이(P>0.05)，재10 m최대보행속도측시중，전치식과족교형기조보행속도(39.6±11.6) m/min교후치과족교형기조보행속도(33.0±12.4) m/min명현가쾌(P<0.05)。설명전치식과족교형기경합괄용우뇌졸중편탄환자개선보행속도。
BACKGROUND:Most of the traumatic brain injury and stroke survivors have foot drop and varus deformity, that need to be treated with ankle-foot orthosis. OBJECTIVE:To investigate the advantages and effect of early application of front-ankle-foot orthosis on the walking function of the patients with hemiplegia after stroke. METHODS:The clinical data of 54 patients with hemiplegia after stroke treated in the Changshu No. 2 People’s Hospital from June 2008 to October 2009 were retrospectively analyzed. The patients treated with front-ankle-foot orthosis were the front group (n=28), and the patients treated with rear-ankle-foot orthosis were the rear group (n=26). Al the patients received 10 m maximum walking speed test, and the recovery of walking function of the patients in two groups were observed daily. RESUTLS AND CONCLUSION:There were no patients exited and dead in the observation period. The activities of daily living Barthel index in the front-ankle-foot orthoses group (60.0±12.9) was significantly higher than that in the rear-ankle-foot orthoses group (59.1±10.9), and there was no significant difference in the activities of daily living Barthel index between two groups (P>0.05). For the 10 m maximum walking speed test, the walking speed of (39.6±11.6) m/min in the front-ankle-foot orthosis group was significantly faster than that of (33.0±12.4) m/min in the rear-ankle-foot orthosis group (P<0.05). Front-ankle-foot orthosis is more appropriate for patients with hemiplegia after stroke to improve the walking speed.
