《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (11): 1066-1067.

• 临床研究 • 上一篇    下一篇

长下肢矫形器在偏瘫康复中的应用

陈巍1a; 刘冬梅2; 杨永德1b; 张琦1b; 芦海涛1a; 纪树荣1b; 张通1b   

  1. 1.首都医科大学康复医学院中国康复研究中心北京博爱医院神经康复科,北京市 100068;2.内蒙古赤峰市中心医院康复科,内蒙古赤峰市 024000
  • 收稿日期:2007-05-31 出版日期:2007-11-01 发布日期:2007-11-01

Effect of Long Leg Orthosis on Adult Hemiplegia

CHEN Wei, LIU Dong-mei, YANG Yong-de, et al   

  1. Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2007-05-31 Published:2007-11-01 Online:2007-11-01

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摘要： 目的探讨穿戴长下肢矫形器对重度偏瘫患者下肢功能康复的特点。方法38例下肢严重瘫痪,康复治疗效果不佳的偏瘫患者,分为应用长下肢矫形器加康复训练(矫形器组)和单纯康复训练(对照组)两组。训练前和训练后1个月,分别采用Fugl-Meyer下肢运动功能评定量表、Berg平衡量表、Holden步行功能量表、改良的Barthel指数对患者的运动、平衡、行走和日常生活能力进行评价。结果1个月后,两组间除Fugl-Meyer下肢运动功能评定量表分无显著性差异(P>0.05)外,Berg平衡量表、Holden步行功能量表、改良的Barthel指数分均有显著性差异(P<0.01),矫形器组明明显优于对照组。结论对适宜应用长下肢矫形器的偏瘫患者,应该积极佩戴矫形器。

关键词: 脑卒中, 偏瘫, 长下肢矫形器, 康复

Abstract: Objective To investigate the effect of long leg orthosis on lower limb function rehabilitation of hemiplegics.Methods38 patients with severe hemiplegia were randomized into the orthosis group(21 cases)and control group(17 cases).All patients were received rehabilitation training,but the patients in the orthosis group wearing long leg orthosis while training.They were assessed with Fugl-Meyer scale for lower limb,Berg Balance Scale,Holden functional walking scale,Modified Barthel Index before and 1 month after training.ResultsThe scores of Berg Balance Scale,Holden Functional Walking Scale and Modified Barthel Index in the orthosis group were better than those of the control group(P<0.01)1 month after training,whereas no significant difference was found in score of Fugl-Mayer Assessment(P>0.05).ConclusionIt's better for those patients with severe hemiplegia wearing long leg orthosis while training.

Key words: stroke, hemiplegia, long leg orthosis, rehabilitation