中国康复
中國康複
중국강복
CHINESE JOURNAL OF REHABILITATION
2014年
6期
427-429
,共3页
刘孟%倪朝民%岳童%陈进%范文祥%穆景颂
劉孟%倪朝民%嶽童%陳進%範文祥%穆景頌
류맹%예조민%악동%진진%범문상%목경송
脑卒中%坐-站转移%上肢位%椅子高度%下肢负重
腦卒中%坐-站轉移%上肢位%椅子高度%下肢負重
뇌졸중%좌-참전이%상지위%의자고도%하지부중
stroke%sit-to-stand%arm position%seat height%lower limb loading
目的:探讨上肢位及椅子高度对脑卒中偏瘫患者坐‐站转移下肢负重及稳定性的影响。方法:脑卒中偏瘫患者30例,分别在双手叉握(GA)及双手交叉胸前(CA)两种上肢位及两种不同高度的椅子(高椅及标准椅)上完成坐‐站转移测试,采用A L‐080型步态与平衡功能训练评估系统对受试者完成坐‐站转移的时间、双下肢负重、双下肢负重不对称性(IOA)及人体重心点(COG)在冠状面上的摆动幅度(COGX)进行测量,探讨其不同差异。结果:姿势GA时,除坐‐站转移所需的时间外,健足平均负重、患足平均负重、IOA及 COGX与姿势CA相比较,差异均有统计学意义(P<0.05)。在高椅子上完成坐‐站转移时,与标准椅子相比较,健足平均负重、患足平均负重及IOA无明显差异,而坐‐站转移所需时间以及COGX均差异有统计学意义( P<0.05)。左侧脑卒中偏瘫与右侧偏瘫相比较,坐‐站转移所需时间、患侧下肢负重、健侧下肢负重、IOA及COGX均无差异(P<0.05)。结论:不同上肢位影响脑卒中偏瘫患者坐‐站转移的下肢负重及稳定性;椅子高度影响脑卒中偏瘫患者坐‐站转移的稳定性。
目的:探討上肢位及椅子高度對腦卒中偏癱患者坐‐站轉移下肢負重及穩定性的影響。方法:腦卒中偏癱患者30例,分彆在雙手扠握(GA)及雙手交扠胸前(CA)兩種上肢位及兩種不同高度的椅子(高椅及標準椅)上完成坐‐站轉移測試,採用A L‐080型步態與平衡功能訓練評估繫統對受試者完成坐‐站轉移的時間、雙下肢負重、雙下肢負重不對稱性(IOA)及人體重心點(COG)在冠狀麵上的襬動幅度(COGX)進行測量,探討其不同差異。結果:姿勢GA時,除坐‐站轉移所需的時間外,健足平均負重、患足平均負重、IOA及 COGX與姿勢CA相比較,差異均有統計學意義(P<0.05)。在高椅子上完成坐‐站轉移時,與標準椅子相比較,健足平均負重、患足平均負重及IOA無明顯差異,而坐‐站轉移所需時間以及COGX均差異有統計學意義( P<0.05)。左側腦卒中偏癱與右側偏癱相比較,坐‐站轉移所需時間、患側下肢負重、健側下肢負重、IOA及COGX均無差異(P<0.05)。結論:不同上肢位影響腦卒中偏癱患者坐‐站轉移的下肢負重及穩定性;椅子高度影響腦卒中偏癱患者坐‐站轉移的穩定性。
목적:탐토상지위급의자고도대뇌졸중편탄환자좌‐참전이하지부중급은정성적영향。방법:뇌졸중편탄환자30례,분별재쌍수차악(GA)급쌍수교차흉전(CA)량충상지위급량충불동고도적의자(고의급표준의)상완성좌‐참전이측시,채용A L‐080형보태여평형공능훈련평고계통대수시자완성좌‐참전이적시간、쌍하지부중、쌍하지부중불대칭성(IOA)급인체중심점(COG)재관상면상적파동폭도(COGX)진행측량,탐토기불동차이。결과:자세GA시,제좌‐참전이소수적시간외,건족평균부중、환족평균부중、IOA급 COGX여자세CA상비교,차이균유통계학의의(P<0.05)。재고의자상완성좌‐참전이시,여표준의자상비교,건족평균부중、환족평균부중급IOA무명현차이,이좌‐참전이소수시간이급COGX균차이유통계학의의( P<0.05)。좌측뇌졸중편탄여우측편탄상비교,좌‐참전이소수시간、환측하지부중、건측하지부중、IOA급COGX균무차이(P<0.05)。결론:불동상지위영향뇌졸중편탄환자좌‐참전이적하지부중급은정성;의자고도영향뇌졸중편탄환자좌‐참전이적은정성。
Objective:To explore the effects of arm position and seat height on sit‐to‐stand (STS) lower limb load‐ing and stability in hemiplegic stroke patients .Methods:Thirty hemiplegic patients with stroke were recruited who were required to complete the STS with different arm positions (grasped arms ,GA ;and crossed arms ,CA) and seat height (high chair ,and standard chair) .The duration ,mean lower limb loading ,index of asymmetry of limb load (IOA) and sway of the center of gravity (COG) in mediolateral directions (COGX) were measured during STS in 4 cases by gait and balance function training and assessment system (model AL‐080) .The differences between them were compared .Results:At GA ,except for time required for STS ,the differences were statistically significant (P<0 .05) in the average loading of the non‐paretic foot and the paretic foot ,IOA and COGX as compared with those at CA .However ,there was no significant difference in the average loading of the non‐paretic foot and the pa‐retic foot ,and IOA between the two seat heights at any arm position ,and the significant difference was found in time required for STS and COGX (P<0 .05) .There was no significant difference in all indicators between left and right hemiplegia .Conclusion:Changing the upper limb position affects lower limb loading and postural stability dur‐ing STS in hemiplegic stroke patients .However ,seat height influences postural stability during STS in hemiplegic stroke patients .