本文選題：卒中　切入點(diǎn)：足底壓力中心　出處：《中國康復(fù)醫(yī)學(xué)雜志》2017年04期 　論文類型：期刊論文

【摘要】：目的:探討腦卒中偏癱患者步行時(shí)足底壓力中心(COP)時(shí)空參數(shù)的不對(duì)稱性及其與步速的相關(guān)性。方法:選取能夠獨(dú)立步行的腦卒中偏癱患者(偏癱組)及健康中老年人(正常組)各30例,每組受試者均以自然步速進(jìn)行步態(tài)測試,提取并計(jì)算步速、單支撐時(shí)間、雙支撐時(shí)間、單支撐期COP在前后方向的位移(AP-COPDS)及速度(AP-COPVS)、雙支撐期COP在前后方向的位移(AP-COPDD)及速度(AP-COPVD),計(jì)算COP時(shí)空參數(shù)的對(duì)稱性比,組內(nèi)進(jìn)行兩側(cè)下肢COP時(shí)空參數(shù)比較,組間進(jìn)行COP時(shí)空參數(shù)對(duì)稱性比比較,并分析偏癱組各步態(tài)參數(shù)對(duì)稱性比與步速的相關(guān)程度。結(jié)果:與健側(cè)相比,患側(cè)單支撐時(shí)間、AP-COPDS、AP-COPVS減小,AP-COPDD增加,差異均有顯著性意義(P0.05)。與正常組相比,偏癱組單支撐時(shí)間、AP-COPDS、AP-COPVS三者的對(duì)稱性比均減小,AP-COPDD對(duì)稱性比增大,差異均有顯著性意義(P0.05)。偏癱組步速與單支撐時(shí)間對(duì)稱性比呈高度正相關(guān)(r=0.76,P0.05),與APCOPDS、AP-COPVS兩者的對(duì)稱性比呈中度正相關(guān)(r=0.682,r=0.442,P0.05),與AP-COPVD對(duì)稱性比存在負(fù)相關(guān)趨勢(shì)(r=-0.363,P=0.053)。結(jié)論:腦卒中偏癱患者步行時(shí)COP時(shí)空參數(shù)呈不對(duì)稱性模式,且其不對(duì)稱性與步速存在相關(guān)性。
[Abstract]:Objective: to investigate the asymmetry of space-time parameters of plantar pressure center during walking in stroke patients with hemiplegia and its correlation with walking speed. Methods: to select stroke hemiplegic patients (hemiplegia group) and healthy elderly people who can walk independently. There were 30 cases in the normal group and 30 cases in the normal group. In each group, the gait test was carried out at natural walking speed, and the walking speed, single support time and double support time were extracted and calculated. The displacement (AP-COPDS) and velocity (AP-COPVS) of COP in the front and back direction of single bracing period, the displacement of COP (AP-COPDD) and the velocity of AP-COPVD in the back and back direction of double bracing period were calculated. The symmetry ratio of COP space-time parameters was calculated, and the space-time parameters of lower extremity COP in both sides of the group were compared. The ratio of space-time parameter symmetry of COP was compared between the two groups, and the correlation between the symmetry ratio of each gait parameter and the walking speed was analyzed. Results: compared with the healthy side, the AP-COPDSS-AP-COPVS decreased the AP-COPDD increase. Compared with the normal group, the symmetry ratio of AP-COPDSS-AP-COPVS in the hemiplegia group decreased and the AP-COPDD symmetry ratio increased. There were significant differences between the two groups (P 0.05). There was a high positive correlation between the symmetry ratio of walking speed and single support time in hemiplegia group, and a high positive correlation between the symmetry ratio of AP-COPVS and APCOPDS AP-COPVS, and a moderate positive correlation between the symmetry ratio of AP-COPVS and APCOPDS-0.682OP-COPVS, and a negative correlation with the symmetry ratio of AP-COPVD. Conclusion: there is a negative correlation with the symmetry ratio of AP-COPVD. Conclusion: the hemiplegia in stroke patients with hemiplegia has a tendency of negative correlation. The spatiotemporal parameters of COP were asymmetrical during walking. There is a correlation between the asymmetry and the step speed.
【作者單位】： 安徽醫(yī)科大學(xué)附屬省立醫(yī)院康復(fù)醫(yī)學(xué)科;
【基金】：安徽省科技廳年度重點(diǎn)科研項(xiàng)目(11070403064)
【分類號(hào)】：R493;R743.3

【相似文獻(xiàn)】

相關(guān)期刊論文 前1條

1 徐軍,高懷民,甕長水,王素平,劉冰,于增志;偏癱患者膝伸肌群等速離心收縮訓(xùn)練的效果[J];中國康復(fù)醫(yī)學(xué)雜志;2000年03期

相關(guān)會(huì)議論文 前1條

1 王曉東;;中風(fēng)患者步態(tài)運(yùn)動(dòng)學(xué)特征與康復(fù)評(píng)定的關(guān)系[A];中國康復(fù)醫(yī)學(xué)會(huì)第五屆全國康復(fù)治療學(xué)術(shù)會(huì)議論文集[C];2006年

，

本文編號(hào)：1617135