[在中风后半症中纠正步态的生物力学方法]
V A Gurevich1,2, S V Prokopenko1,2, V S Ondar1,2
1Prof. V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of the Russian Federation, Krasnoyarsk, Russia.
概括
这项研究表明,一种新的足部技术显著改善了中风后半患者的步态. 这种康复方法增加了步骤长度,减少了不对称性,有助于运动恢复.
科学领域:
- 神经康复疗法 神经康复疗法
- 物理医学和康复 康复
- 生物医学工程 生物医学工程
背景情况:
- 脑卒中后的运动障碍,特别是病态步行,需要有效的康复策略.
- 识别和准中央生物力学缺陷对于恢复半症患者的步行功能至关重要.
研究的目的:
- 评估一种独特的康复技术的有效性,该技术涉及将脚的重心转移.
- 评估这项技术对中风后半症患者的步行生物力学的影响.
主要方法:
- 一项试点研究涉及15名中风后半患者接受康复治疗.
- 患者每天接受10次步行训练 (每次20-40分钟),使用作者脚技术.
- 步行功能的定量评估是使用Ichnography方法进行的.
主要成果:
- 在干预后的关键空间步行参数中观察到显著的改善.
- 脚的中间步长从34.31厘米增加到44.84厘米 (p<0.01).
- 腿和完整腿之间的步骤不对称性显著下降,从11.77厘米降至6.35厘米 (p<0.01).
结论:
- 作者的脚重心转移技术是改善步行功能的有效方法.
- 这种技术显示了作为一个有价值的工具,在运动康复中患有中风后半的患者有希望.
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