《中国康复理论与实践》

《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (09): 860-862.

• 论文 • 上一篇    下一篇

老年脑卒中偏瘫患者的三维步态分析

桑德春，卢利萍，邵春霞，刘海荣，赵政   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心，北京市100068；3.北京残疾人康复服务指导中心，北京市100070；4.北京丰台医院，北京市100070。
  • 收稿日期:2013-07-01 修回日期:2013-08-08 出版日期:2013-09-25 发布日期:2013-09-25

3D Gait Analysis for Old Hemiplegic Patients

SANG De-chun, LU Li-ping, SHAO Chun-xia, et al.   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2013-07-01 Revised:2013-08-08 Published:2013-09-25 Online:2013-09-25

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摘要： 目的探讨老年偏瘫患者的步态特点。方法采用三维步态分析仪对22 例老年偏瘫患者进行步态分析。结果老年偏瘫患者的双侧下肢站立相百分比增大，健侧较患侧明显，摆动相百分比减小，步频减小；步长、跨步长及步速减小；头部前倾，躯干基本保持直立位；患侧上肢较健侧上肢的肩关节、肘关节角度变化范围缩小(P<0.05)；患侧肩关节屈曲内收、肘关节屈曲角度较健侧增大(P<0.05)；患侧髋膝踝关节角度变化范围较健侧缩小(P<0.05)。结论老年偏瘫患者步行功能下降，上肢痉挛，步行时出现视觉代偿。

关键词: 脑卒中, 老年, 偏瘫, 三维步态分析

Abstract: Objective To explore the characteristics of gait of old hemiplegic patients. Methods 22 old hemiplegic patients were investigated with Motion Analysis. Results The bilateral support phase increased, especially for the affected lateral. The swing phase decreased, as well as the frequency, step length, stride length and walking speed. Their heads flexed forward, but trunks remained upright. The motion of range of shoulder and elbow decreased in the affected lateral (P<0.05), and the angle of flexion and adduction in the affected shoulder and flexion in elbow increases (P<0.05). The motion of range of the affected hip, knee and ankle decreased (P<0.05). Conclusion The walking ability impaired in the old hemiplegic patients, with upper limbs spasticity, vision compensation, etc.

Key words: stroke, elderly, hemiplegia, 3D gait analysis