| 徐光青,兰 月,毛玉瑢,黄东锋.踝足矫形器对脑卒中患者躯体运动及其步行能力的影响[J].中国康复医学杂志,2010,25(3):247~250 |
| 踝足矫形器对脑卒中患者躯体运动及其步行能力的影响 点此下载全文 |
| 徐光青 兰 月 毛玉瑢 黄东锋 |
| 中山大学附属第一医院康复医学科 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 摘要
目的：探讨踝足矫形器（AFO）对脑卒中患者躯体运动和步行能力的影响及其之间的相互关系。
方法：20例可以独立步行10m以上的慢性偏瘫患者，采用三维步态分析系统评测佩戴AFO前后的最大步行速度及躯体运动学参数。
结果：佩戴AFO前后最大步行速度、身体重心垂直和侧方运动、骨盆前后倾斜和旋转运动差异有显著性意义（P<0.01）；步行能力的提高与身体重心运动和骨盆旋转运动改善显著相关（P<0.01）。
结论：佩戴AFO可以改善脑卒中偏瘫患者躯体运动的稳定性，并且与提高患者的步行能力相关。 |
| 关键词：踝足矫形器 身体重心 步速 脑卒中 |
| Effects of ankle-foot orthosis (AFO) on trunk motion and walking capacity of hemiplegic stroke patients Download Fulltext |
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| Dept. of Rehabilitation of Zhongshan University |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To quantitatively analyze the effects of ankle-foot orthosis (AFO) on trunk motion and walking speed of hemiplegic stroke patients and investigate the correlation between the improvements in trunk motion and walking capacity.
Method: The maximum walking speed, gravity center of body and pelvic movements were examined with and without AFO in twenty post-stroke hemiplegic patients using the three-dimensional motion analysis system.
Result: The AFO had positive effects on hemiplegic gait parameters, improving walking speed, pelvic rotation and tilt, lateral and vertical movements of gravity center of body(P<0.01). There was significant correlation between the improvements in walking capacity and trunk motion (P<0.01).
Conclusion: The AFO could compensate the instability of trunk motion of hemiplegic stroke patients. Moreover, the improvement in walking capacity was associated with the compensation for the instability of trunk motion. |
| Keywords:ankle-foot orthosis gravity center of body walking speed stroke |
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