踝關(guān)節(jié)貼扎對(duì)偏癱患者足下垂的作用及時(shí)效性研究
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本文關(guān)鍵詞:踝關(guān)節(jié)貼扎對(duì)偏癱患者足下垂的作用及時(shí)效性研究 出處:《哈爾濱體育學(xué)院》2015年碩士論文 論文類型:學(xué)位論文
更多相關(guān)文章: 偏癱 踝關(guān)節(jié)貼扎 足底壓力
【摘要】:踝關(guān)節(jié)貼扎的方法在運(yùn)動(dòng)損傷中應(yīng)用較多,多用于踝關(guān)節(jié)不穩(wěn),固定踝關(guān)節(jié),防止踝關(guān)節(jié)內(nèi)翻。偏癱患者對(duì)于足部下垂的矯正主要采用踝足矯形器,但是踝足矯形器既需要專門的定制造價(jià)高,又因?yàn)椴牧蠄?jiān)硬容易引起皮膚破損,所以通過應(yīng)用踝關(guān)節(jié)貼扎的方法進(jìn)行偏癱患者康復(fù)的矯正,希望通過這種技術(shù)的遷移能夠使偏癱患者在獲得更好康復(fù)的同時(shí),減少其痛苦。本文通過文獻(xiàn)資料法、專家訪談法、數(shù)理統(tǒng)計(jì)法和實(shí)驗(yàn)法對(duì)偏癱患者患側(cè)踝關(guān)節(jié)進(jìn)行貼扎,矯正足下垂,并運(yùn)用二維圖像測(cè)角度,運(yùn)用Footscan足底壓力系統(tǒng)測(cè)量偏癱患者的步態(tài)指標(biāo),通過貼扎前的一組測(cè)試(3次每組)和貼扎后的多組(3次每組)測(cè)試,找出踝關(guān)節(jié)貼扎的失效點(diǎn),通過貼扎前后的對(duì)比,說明貼扎的作用。得到以下結(jié)論:(1)踝關(guān)節(jié)1次性閉鎖式編籃貼扎法能夠限制偏癱患者主動(dòng)和被動(dòng)的跖屈、背屈、內(nèi)翻、外翻角度,對(duì)偏癱患者的足下垂控制效果顯著。(2)偏癱患者在步態(tài)訓(xùn)練課的支持有效時(shí)間,根據(jù)多數(shù)據(jù)綜合分析,為60分鐘,可在此基礎(chǔ)上,根據(jù)運(yùn)動(dòng)強(qiáng)度增減相應(yīng)時(shí)間。(3)踝關(guān)節(jié)貼扎對(duì)于康復(fù)訓(xùn)練的偏癱患者有明顯的效果,可以在康復(fù)過程中嘗試應(yīng)用。(4)偏癱患者的步態(tài)呈現(xiàn)出左右步幅不等、雙腳支撐時(shí)間延長(zhǎng)、單腳獨(dú)立支撐時(shí)間變短、步寬變大,步長(zhǎng)和步幅均低于正常人,步速減慢的特點(diǎn)。(5)偏癱患者的步態(tài)主要通過各種代償來(lái)完成步行動(dòng)作。(6)貼扎有利于偏癱患者左右步態(tài)的對(duì)稱。
[Abstract]:The method of ankle joint sticking and ligation is more applied in motion injury, mostly used in ankle joint instability, fixation of ankle joint and prevention of ankle varus. Ankle foot orthosis is mainly used in patients with hemiplegia for foot drooping. But ankle foot orthosis not only needs special custom cost, but also because the material is hard and easy to cause skin breakage, so the method of ankle joint sticking is used to correct the rehabilitation of hemiplegia patients. It is hoped that the migration of this technique can help the hemiplegic patients to recover better and reduce their pain at the same time. The ankle joint of hemiplegic patients was taped by mathematical statistics and experimental methods, and the gait index of hemiplegic patients was measured by Footscan plantar pressure system. The failure points of ankle joint sticking were found out by 3 times of each group before and 3 times each group) and 3 times per group after sticking, and the comparison between before and after sticking was carried out. The following conclusion is drawn: 1) the ankle joint with 1 time atresia can restrict the active and passive angle of metatarsal flexion, dorsiflexion, varus and valgus in hemiplegic patients. The effect of foot droop control on hemiplegic patients is remarkable. 2) the effective time of support in gait training class of hemiplegic patients is 60 minutes according to the comprehensive analysis of multiple data, which can be on this basis. According to the movement intensity increase and decrease the corresponding time. 3) the ankle joint patch has the obvious effect to the rehabilitation training hemiplegia patient. The gait of patients with hemiplegia can be used in rehabilitation. The gait of patients with hemiplegia varies from left to right, the support time of feet is prolonged, the independent support time of one foot becomes shorter, the step width becomes larger, the step length and stride size are lower than that of normal people. (5) the gait of hemiplegic patients is mainly completed by various compensations. 6) Patch is beneficial to the symmetry of left and right gait of hemiplegic patients.
【學(xué)位授予單位】:哈爾濱體育學(xué)院
【學(xué)位級(jí)別】:碩士
【學(xué)位授予年份】:2015
【分類號(hào)】:R873
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1 宋蘭欣,魏國(guó)榮,李紅玲,黃明威,黃力平,曲鐳;早期康復(fù)對(duì)腦卒中患者偏癱步態(tài)的影響[J];中國(guó)康復(fù)醫(yī)學(xué)雜志;2001年01期
,本文編號(hào):1361458
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