《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (8): 752-755.

• 临床研究 • 上一篇    下一篇

脑卒中偏瘫患者康复治疗前后的三维步态分析

卢利萍1,2，桑德春1,2，邵翠霞3，刘海荣3，刘建华2，李媛媛3
   

  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博爱医院，北京市100068；3.北京市残疾人康复服务指导中心，北京市100070
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-08-25 发布日期:2014-08-25

3D Gait Analysis of Stroke Hemiplegic Patients before and after Rehabilitation

LU Li-ping, SANG De-chun, SHAO Cui-xia, LIU Hairong,LIU Jian-hua, LI Yuan-yuan.

  

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-08-25 Online:2014-08-25

PDF (PC)

摘要： 目的分析脑卒中偏瘫患者康复治疗前后的三维步态特点。方法采用三维步态分析仪对28 例脑卒中偏瘫患者6 周的常规康复训练前后分别进行三维步态分析检查。结果治疗后患侧下肢站立相百分比较前增加(P<0.05)，摆动相百分比较前减少(P<0.05)，较前接近正常值；患侧下肢的步长、跨步长，步速均较前增加(P<0.05)；患者髋关节内收外展、屈曲伸展，膝关节屈曲伸展，踝关节内外旋转、内翻外翻、背屈跖屈均较前改善(P<0.05)。结论三维步态分析系统能定量地评价患者的步态情况，可作为康复疗效评定的指标之一。

关键词: 脑卒中, 偏瘫, 三维步态分析, 康复

Abstract: Objective To explore the 3D gait analysis of stroke hemiplegic patients. Methods 28 stroke hemiplegic patients were examined with the 3D gait analysis system before and after 6-week rehabilitation. Results After rehabilitation, support phase time of the affected lower limb increased and swing phase time decreased (P<0.05). Step length, stride length and walking speed increased (P<0.05). There was significantly difference in range of motion (ROM) of hip deduction/abduction, flexion/extension, and knee flexion/extension, and ankle internal/external rotation, varus/eversion, dorsiflexion/plantar flexion before and after rehabilitation (P<0.05). Conclusion 3D gait analysis system can evaluate the patient's gait objectively and quantitatively, and provide the basis for rehabilitation assessment.

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