本文選題：腦卒中 + 改良強制性運動療法　； 參考：《上海體育學(xué)院》2014年碩士論文

【摘要】：研究目的 本研究通過三維運動捕捉系統(tǒng)對腦卒中患者mCIMT干預(yù)前后生物力學(xué)治療的測定來評估m(xù)CIMT對腦卒中患者踝關(guān)節(jié)運動控制障礙的影響。 研究方法 選取復(fù)旦大學(xué)附屬華山醫(yī)院門診及其分中心符合納入標(biāo)準(zhǔn)的22名腦卒中患者，隨機分為mCIMT組和對照組。mCIMT組進行mCIMT干預(yù)，時間為每天2小時，每周5次，共四周。對照組進行常規(guī)性運動療法每天進行45分鐘常規(guī)性康復(fù)治療，并予以康復(fù)治療教育，剩余時間由家屬輔助完成，，時間與mCIMT組相同。利用三維運動捕捉系統(tǒng)在受試者干預(yù)前后進行生物力學(xué)指標(biāo)的采集并處理。 研究結(jié)果 1.腦卒中患者進過mCIMT的干預(yù)后，患者步態(tài)的基本參數(shù)得到了提高。 2.腦卒中患者經(jīng)過mCIMT干預(yù)后患側(cè)踝關(guān)節(jié)跖屈角度在足尖離地時由24.14±6.32°降低至19.80±4.47°（P=0.043，P0.05），在足尖觸地時由31.11±7.50°減小至24.69±6.04°（P=0.01，P0.05）且相對于對照組干預(yù)后的29.79±3.87°（P=0.29，P0.05）均出現(xiàn)統(tǒng)計學(xué)上顯著性差異，促使患者完成足廓清和減小著地期，足掌與地面的沖擊。 3.腦卒中患者經(jīng)過mCIMT干預(yù)后患側(cè)脛骨前肌在首次著地期的均方根占MIVCV百分比從28.61±15.60增大至46.61±10.49（P=0.014，P0.05），較于對照組的百分比35.04±11.11（P=0.021，P0.05）均出現(xiàn)顯著性差異，在邁步前期患側(cè)脛骨前肌均方根百分比從30.07±11.75到41.28±7.55（P=0.004，P0.01），較于對照組的27.90±9.77（P=0.002，P0.01），均出現(xiàn)統(tǒng)計學(xué)上非常顯著性差異，提高了患者脛骨前肌和腓腸肌的活動水平。 結(jié)論 mCIMT可以有效的改善腦卒中患者踝關(guān)節(jié)運動控制障礙
[Abstract]:research objective
The aim of this study is to evaluate the effect of mCIMT on ankle motion control disorder in stroke patients by three-dimensional motion capture system before and after mCIMT intervention.
research method
Select the outpatient department of Huashan Hospital Affiliated to Fudan University and center with 22 stroke patients included, were randomly divided into mCIMT group and control group.MCIMT group mCIMT intervention, the time is 2 hours a day, 5 times a week, for four weeks. The control group was given routine physical therapy every day for 45 minutes of routine rehabilitation, and rehabilitation treatment the remaining time is completed by family education, assistance, the same time as the mCIMT group. Using 3D motion capture system for biomechanical indexes before and after the intervention subjects collected and processed.
Research results
1. patients with stroke were treated with mCIMT, and the basic parameters of the patient's gait were improved.
2. stroke patients after mCIMT intervention after lateral ankle plantar flexion angle at toe off by 24.14 + 6.32 degrees down to 19.80 + 4.47 degrees (P=0.043, P0.05), in the toe when they hit the ground by 31.11 + 7.50 degrees reduced to 24.69 - 6.04 degrees (P=0.01, P0.05) and compared with the control group after the intervention of 29.79 plus or minus 3.87 degrees (P=0.29, P0.05) showed a statistically significant difference, to patients with foot clearance and reduce the period, foot and ground shock.
3. stroke patients after the intervention of mCIMT ipsilateral tibialis anterior muscle in the first period of the RMS percentage of MIVCV increased to 46.61 from 28.61 + 15.60 + 10.49 (P=0.014, P0.05) compared with the control group, the percentage of 35.04 + 11.11 (P=0.021, P0.05) there were significant differences in the previous step, to the ipsilateral tibia the RMS muscle percentage from 30.07 + 11.75 to 41.28 + 7.55 (P=0.004, P0.01), compared with the control group of 27.90 + 9.77 (P=0.002, P0.01), there were statistically very significant differences, improve patients with tibial anterior muscle and gastrocnemius muscle activity level.
conclusion
MCIMT can effectively improve the malleolus movement control disorder in stroke patients

【學(xué)位授予單位】：上海體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：G804.6;R743.3

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