本文選題：任務(wù)導(dǎo)向性訓(xùn)練 + 偏癱�。� 參考：《南京師范大學(xué)》2014年碩士論文

【摘要】：目的：觀察任務(wù)導(dǎo)向性訓(xùn)練方法對偏癱患者足底壓力的影響,探討偏癱患者步行功能恢復(fù)的有效途徑。 方法：本研究以一名中風(fēng)偏癱患者為研究對象,根據(jù)詢證醫(yī)學(xué)的要求,從患者的具體病征出發(fā),用任務(wù)導(dǎo)向性康復(fù)訓(xùn)練作為干預(yù)手段,以足底壓力的變化來評價患者的康復(fù)程度,分別于干預(yù)前、中、后三次用足底壓力測試系統(tǒng)采集患者的足底平面壓力圖,壓力峰值、足底十區(qū)域壓力曲線、垂直壓力合曲線、足底各時相顯示圖和壓力中心軌跡(cop)等數(shù)據(jù),進(jìn)行干預(yù)前、中、后的比較分析。 結(jié)果： 1.干預(yù)后,患側(cè)“拖趾”現(xiàn)象消失；患側(cè)足跟峰值增高,十區(qū)域壓力峰值大小的順序和垂直壓力合曲線無明顯變化,壓力中心軌跡在Y軸方向上靠近足跟位置； 2.與干預(yù)前測試的峰值比較,干預(yù)中期測試,健側(cè)除了第2-5趾其他九個區(qū)域的壓力峰值都降低,干預(yù)后測試,健側(cè)除了第1趾和第2-5趾其他八個區(qū)域的壓力峰值都降低了,干預(yù)后兩次測試足底垂直壓力合曲線呈雙峰特征； 3.兩側(cè)足十區(qū)域的壓力峰值在干預(yù)前測試差值較大,干預(yù)后差值變小。 結(jié)論： 1.任務(wù)導(dǎo)向性康復(fù)訓(xùn)練能改善足下垂,提高下肢關(guān)節(jié)的協(xié)調(diào)能力； 2.任務(wù)導(dǎo)向性治療能改善健側(cè)與患側(cè)的承重平衡關(guān)系； 3.一對一的康復(fù)訓(xùn)練具有實效性； 4.足底壓力測量技術(shù)對于指導(dǎo)康復(fù)治療方案的制定、療效的評估具有理論及現(xiàn)實指導(dǎo)意義。
[Abstract]:Objective: to observe the effect of task-oriented training on plantar pressure in hemiplegic patients and to explore the effective ways to recover walking function of hemiplegic patients. Methods: in this study, a stroke hemiplegic patient was selected as the research object. According to the requirement of inquiry and syndrome medicine, the task-oriented rehabilitation training was used as the intervention method according to the specific symptoms of the patients. According to the change of plantar pressure, the recovery degree of patients was evaluated. The plantar pressure map, peak pressure, plantar pressure curve, vertical pressure curve and vertical pressure curve were collected by plantar pressure test system before, during and after intervention. The data of plantar phase display and pressure center locus were compared before, during and after intervention. Results: 1. After intervention, the phenomenon of "dragging toes" disappeared, the peak value of heel increased, the order of peak pressure in ten regions and the vertical pressure curve did not change, and the track of pressure center was close to the heel in Y axis. 2. Compared with the peak value of pre-intervention test, the peak pressure in nine regions of the healthy side except the 2-5 toe was decreased in the intervention mid-term test. After intervention, the peak pressure of the healthy side except the first toe and the 2-5 toe were all decreased, and after the intervention, the peak pressure of the healthy side in the other eight regions except the first toe and the 2-5 toe were all decreased. After intervention, the plantar vertical pressure curve showed a bimodal feature. 3. The pressure peak value of the two side foot region was larger before intervention and smaller after intervention. Conclusion: 1. Task-oriented rehabilitation training can improve the foot droop and the coordination ability of lower extremity joints. 2. Task-oriented treatment can improve the balance between the healthy side and the affected side. 3. One-to-one rehabilitation training has practical effect; 4. Plantar pressure measurement is of theoretical and practical significance in guiding the formulation of rehabilitation therapy and evaluation of curative effect.
【學(xué)位授予單位】：南京師范大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R743.3

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相關(guān)期刊論文 前1條

1 湯澄清;;青年與中年人赤足行走足底壓力參數(shù)的比較[J];中國人民公安大學(xué)學(xué)報(自然科學(xué)版);2012年01期

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