【摘要】：目的 偏癱步態(tài)是腦卒中患者的最大后遺癥之一,嚴重影響了患者的康復治療效果和生活自理能力。步行能力的康復是臨床上研究的重點和熱點,現在臨床應用的下肢機器人訓練相比傳統(tǒng)步行訓練是否效果更佳,兩種方法在效果上優(yōu)劣能否量化評估,本研究創(chuàng)新性的使用三維步態(tài)分析這一先進、客觀的評估工具,從多個不同步態(tài)參數多角度探討下肢機器人對偏癱患者步行能力的影響方法將60例符合要求的偏癱病人分為實驗組和對照組,兩組各30人,60人都進行傳統(tǒng)康復的藥物治療和物理治療,此外實驗組采用下肢機器人進行步行訓練,對照組按照傳統(tǒng)步行訓練方法。兩種訓練時長都為每次30分鐘,每周訓練5天,4周為1個療程,共訓練2個療程、療程問歇3天。在治療前和訓練8周后,使用三維步態(tài)分析評估分析兩組的時間參數、時相參數、關節(jié)角度、地反力大小。結果偏癱患者在使用下肢機器人訓練之后,步速、步頻、跨步長顯著提高,步寬顯著縮��；患側下肢擺動相百分比增加,患側支撐相百分比、健側與患側支撐相比值、雙支撐相百分比減��；髖關節(jié)和膝關節(jié)的最大活動角度增大,垂直和向前兩項地反力峰值增大。而且與對照組相比,變化有顯著性(P0.05)結論對偏癱患者來說,相比傳統(tǒng)步行訓練,下肢機器人訓練可以更有效地改善偏癱患者的步行能力。
[Abstract]:Objective Hemiplegic gait is one of the biggest sequelae of stroke patients, which seriously affects the rehabilitation effect and self-care ability of patients. The rehabilitation of walking ability is the focus and focus of clinical research. Whether the clinical training of lower limb robot is more effective than traditional walking training, can the two methods be evaluated quantitatively. The innovative use of three-dimensional gait analysis as an advanced, objective evaluation tool, The influence of lower limb robot on walking ability of patients with hemiplegia from different gait parameters 60 patients with hemiplegia were divided into two groups: experimental group and control group. 60 patients were treated with traditional rehabilitation medicine and physical therapy. In addition, the experimental group was trained by lower limb robot, while the control group was trained by traditional walking training method. The duration of each training was 30 minutes, 5 days a week, 4 weeks as a course of treatment, a total of 2 courses of training, the course of three days of rest. Three dimensional gait analysis was used to evaluate and analyze the time parameters, phase parameters, joint angle and ground reaction force of the two groups before treatment and 8 weeks after training. Results after using lower limb robot training, the speed, frequency and stride length of the hemiplegic patients were significantly increased, and the width of the step was significantly reduced. The percentage of swinging phase of the affected lower extremity increased, the percentage of the support phase of the affected side increased, the percentage of the double bracing phase of the healthy side decreased compared with the value of the affected side support, and the maximum motion angle of the hip joint and the knee joint increased, and the peak value of the vertical and forward ground reaction increased. And compared with the control group the change was significant (P0.05) conclusion compared with the traditional walking training lower limb robot training can improve the walking ability of hemiplegic patients more effectively.
【學位授予單位】：浙江中醫(yī)藥大學
【學位級別】：碩士
【學位授予年份】：2015
【分類號】：R743.3

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本文編號：2399075