| 曲庆明,许光旭,孟殿怀,姚 刚,顾绍钦,朱 奕,励建安.背屈踝足矫形器对偏瘫步态时空参数的影响[J].中国康复医学杂志,2010,25(6):519~522 |
| 背屈踝足矫形器对偏瘫步态时空参数的影响 点此下载全文 |
| 曲庆明 许光旭 孟殿怀 姚 刚 顾绍钦 朱 奕 励建安 |
| 南京医科大学第一附属医院康复医学科，江苏南京，210029 |
| 基金项目：江苏省兴卫工程重点学科卫生厅开放课题（XK20 200902） |
| DOI： |
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| 摘要
目的：通过对穿戴不同角度踝足矫形器(AFO)偏瘫患者的步态分析，探讨不同角度AFO对偏瘫步态时空参数的影响。
方法：对9例偏瘫患者背屈5°、0°位AFO与裸足进行步态对比分析，获取步态参数。
结果：背屈5°AFO(DAFO)与裸足相比，能显著增加患者步长(P＜0.01)、步速(P＜0.01)、步幅(P＜0.05)和步频(P＜0.05)，减少步长时间(P＜0.01)和步幅时间(P＜0.05)。0°位AFO（功能位，FAFO）与裸足相比能显著增加步幅 (P＜0.05)。背屈5°与0°AFO相比能显著提高患者步速(P＜0.05)，减少步长时间(P＜0.05)和步幅时间(P＜0.05)。两种角度AFO对偏瘫患者步态双侧对称性的改善均不显著。
结论：背屈5°AFO能有效地改善患者步速、步长、步幅和步频。 |
| 关键词：偏瘫 踝足矫形器 步态分析 步速 |
| Gait analysis of the effects on the hemiplegic patients walking with dorsiflexion ankle-foot orthosis Download Fulltext |
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| Rehabilitation Department of the First Affiliated Hospital to Nanjing Medical University, Nanjing, 210029 |
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| Abstract: |
| Abstract
Objective: To explore the effects of two different angles of static ankle-foot orthosis (AFO) in the patients with hemiplegia through gait analysis.
Method: Nine patients using two different angles static AFO (dorsiflexion 5° DAFO, functioning 0° FAFO) and barefoot walked on the platform of gait analysis system and gait parameters were collected and calculated.
Result: Comparing with barefoot, walking with 5° DAFO could significantly increase, step length (P＜0.01), velocity (P＜0.01), stride length(P＜0.05) and cadence(P＜0.05); and could decrease step length time(P＜0.01) and stride length time(P＜0.05). Meanwhile, walking with FAFO could significantly increase stride length (P＜0.05) comparing with barefoot. Walking with 5°DAFO could significantly increase(P＜0.05), and significantly decrease step length time (P＜0.05) and stride length time(P＜0.05) comparing with FAFO. But improvement of gait symmetry in hemiplgic patients walking with these two different angles AFO was not significant.
Conclusion: DAFO with 5°dorsiflexion may improve gait parameters at step length, velocity, stride length, and cadence. |
| Keywords:hemiplegia ankle-foot orthosis gait analysis walking velocity |
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