本文關(guān)鍵詞： 膝關(guān)節(jié) 控制訓(xùn)練 偏癱 步行功能 膝過(guò)伸　出處：《成都中醫(yī)藥大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：通過(guò)膝關(guān)節(jié)控制的強(qiáng)化訓(xùn)練來(lái)觀察卒中偏癱患者步行時(shí)膝過(guò)伸的情況,同時(shí)觀察患者的偏癱步態(tài)是否得到糾正,步行能力是否能提高。 方法：將64例患者隨機(jī)分為2組,治療組(對(duì)照組+膝關(guān)節(jié)控制的強(qiáng)化訓(xùn)練)32例,對(duì)照組(電針+常規(guī)康復(fù)療法)32例。兩組治療時(shí)間均為4周,在治療前后均進(jìn)行膝關(guān)節(jié)角度的測(cè)定、“起立-行走”計(jì)時(shí)、Tinetti量表的評(píng)定、Fugl-Meyer下肢功能評(píng)分和10m最大步行速度步行時(shí)膝過(guò)伸的次數(shù)的評(píng)定。 結(jié)果：治療4周后治療組療效96.88%,對(duì)照組療效84.37%,兩組組間比較差異有統(tǒng)計(jì)學(xué)意義(X2=5.080,P0.05)。治療4周后兩組膝關(guān)節(jié)角度、TUGT的時(shí)間、Tinetti量表的評(píng)分、10m最大步行速度步行時(shí)膝過(guò)伸的次數(shù)和Fugl-Meyer下肢功能評(píng)分,差異均有統(tǒng)計(jì)學(xué)意義(P0.05)。 結(jié)論：膝關(guān)節(jié)控制的強(qiáng)化訓(xùn)練可以改善卒中偏癱患者步行時(shí)膝過(guò)伸的狀況,糾正異常的步態(tài),提高步行的能力。
[Abstract]:Aim: to observe the extension of knee joint in stroke hemiplegic patients during walking by intensive training of knee joint control, and to observe whether the gait of hemiplegia can be corrected, and whether the walking ability can be improved. Methods: 64 patients were randomly divided into two groups: treatment group (control group, 32 cases), control group (32 cases), electroacupuncture routine rehabilitation therapy (32 cases), both groups were treated for 4 weeks. The knee joint angle was measured before and after treatment, and the Tinetti scale was used to evaluate the "stand-up walking" timing. Fugl-Meyer score of lower limb function and the number of times of knee extension during walking at 10 m maximum walking speed. Results: after 4 weeks of treatment, the curative effect of the treatment group was 96.88 and that of the control group was 84.37. The difference between the two groups was statistically significant. After 4 weeks of treatment, the time of TUGT and the score of Tinetti scale were measured in the two groups. There were significant differences in the number of knee extension and Fugl-Meyer lower limb function score during walking at 10 m maximum walking speed (P 0.05). Conclusion: the intensive training of knee joint control can improve the condition of knee extension, correct abnormal gait and improve walking ability of stroke hemiplegic patients.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R743.3

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