本文關鍵詞： 膝關節(jié) 控制訓練 偏癱 步行功能 膝過伸　出處：《成都中醫(yī)藥大學》2014年碩士論文　論文類型：學位論文

【摘要】：目的：通過膝關節(jié)控制的強化訓練來觀察卒中偏癱患者步行時膝過伸的情況,同時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例患者隨機分為2組,治療組(對照組+膝關節(jié)控制的強化訓練)32例,對照組(電針+常規(guī)康復療法)32例。兩組治療時間均為4周,在治療前后均進行膝關節(jié)角度的測定、“起立-行走”計時、Tinetti量表的評定、Fugl-Meyer下肢功能評分和10m最大步行速度步行時膝過伸的次數(shù)的評定。 結果：治療4周后治療組療效96.88%,對照組療效84.37%,兩組組間比較差異有統(tǒng)計學意義(X2=5.080,P0.05)。治療4周后兩組膝關節(jié)角度、TUGT的時間、Tinetti量表的評分、10m最大步行速度步行時膝過伸的次數(shù)和Fugl-Meyer下肢功能評分,差異均有統(tǒng)計學意義(P0.05)。 結論：膝關節(jié)控制的強化訓練可以改善卒中偏癱患者步行時膝過伸的狀況,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.
【學位授予單位】：成都中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2014
【分類號】：R743.3

【參考文獻】

相關期刊論文 前10條

1 劉仲初,吳建平,鄭書東;早期康復對腦卒中患者生活質量的影響[J];重慶醫(yī)學;2003年08期

2 邢曉紅;郭麗云;;膝關節(jié)控制訓練對腦卒中患者步行功能的康復療效[J];長治醫(yī)學院學報;2008年01期

3 劉傳玉,梅元武;腦缺血與腦的可塑性[J];國外醫(yī)學.神經(jīng)病學神經(jīng)外科學分冊;2004年06期

4 孫紹靜;劉榮芝;;功能性電刺激對中風偏癱患者肢體運動功能康復的影響[J];中醫(yī)藥臨床雜志;2012年11期

5 張廷峰;;綜合康復治療腦卒中偏癱致踝關節(jié)運動障礙31例[J];河南中醫(yī);2011年07期

6 王子臣;王聲強;;丘墟透照海治療腦卒中足下垂60例療效觀察[J];河北中醫(yī)藥學報;2009年03期

7 于靈云;于濤;;針灸治療中風偏癱步態(tài)的臨床研究進展[J];遼寧中醫(yī)雜志;2010年S1期

8 唐文慧;姜麗蘋;吳旗;何崢艷;程玉花;;膝關節(jié)控制訓練對腦卒中膝過伸和患者步行功能的康復療效觀察[J];牡丹江醫(yī)學院學報;2012年01期

9 李橋軍;華東;張斌;席建明;;強化膝關節(jié)控制訓練對腦卒中偏癱患者步行能力的影響[J];中國實用神經(jīng)疾病雜志;2012年21期

10 粟勝勇,鄧柏穎,李揚帆,周恩華;針灸對中風后偏癱肩痛及其全血黏度的近期影響[J];上海針灸雜志;2004年12期

，

本文編號：1449348