摘要
目的 探讨国际生物力学学院（ICB）矫形鞋垫联合踝足矫形器（AFO）对偏瘫患者步行功能的影响。 方法 选取40例脑卒中偏瘫患者按随机数字表法分为观察组和对照组，每组20例，2组患者均给予常规药物治疗及康复干预，在此基础上，对照组患者接受AFO步行康复治疗，观察组患者接受ICB矫形鞋垫联合AFO治疗。分别于治疗前和治疗4周后（治疗后），采用起立和行走计时测试（TUGT）、10m最快步行速度（10m MWS）测试以及Berg平衡量表（BBS）测试对2组患者的步行功能进行评定，并进行统计学分析比较。 结果 治疗前，2组患者的TUGT、10m MWS、BBS评分组间比较，差异均无统计学意义（P〉0.05）。经4周治疗后，2组患者的TUGT、MWS和BBS评分均较组内治疗前有明显改善［对照组TUGT（P=0.014）、MWS（P=0.021）、BBS（P=0.025）；观察组TUGT（P=0.008）、MWS（P=0.004）、BBS（P=0.005）］；治疗后，观察组患者的TUGT、10m MWS和BBS评分分别为（21.2±6.5）s、（49.4±5.7）m/min和（50.8±6.1）分，其改善幅度明显优于对照组［TUGT（25.4±4.5）s、10m MWS（41.6±5.6）m/min、BBS评分（45.5±5.2）分］，且组间差异有统计学意义［TUGT（P=0.036）、MWS（P=0.017）、BBS（P=0.016）］。 结论 ICB矫形鞋垫联合AFO较单独应用AFO能更好地改善偏瘫患者步行功能。
Objective To explore the effect on walking ability of the orthotic insole produced by the International College of Biomechanics （ICB） when it is combined with an ankle foot orthosis （AFO）. Methods A total of 40 stroke survivors with hemiplegia were randomly divided into an observation group and a control group, each of 20. In addition to conventional medical treatment and rehabilitation, the control group received AFOs and walking rehabilitation training. The observation group accepted walking training with an ICB orthotic insole combined with an AFO. The experiment lasted 4 weeks. Timed up and go test （TUGT） times, 10 m maximum walking speed （10 m MWS） and Berg balance scale （BBS） ratings were recorded before and after the treatment. Results Before the treatment there was no significant difference between the group averages in terms of any of the measures. After the treatment, significant improvement was observed in all of the measurements, with the improvements in the observation group significantly better than those in the control group, on average. Conclusion An ICB orthotic insole combined with an AFO results in better improvements in the walking ability of hemiplegic subjects than an AFO alone.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2017年第6期440-443,共4页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
矫形鞋垫
踝足矫形器
偏瘫
步行能力
Orthotie insole
Ankle foot orthosis
Hemiplegia
Walking ability
