脑梗死患者基于跑台步行的步态分析

doi:10.3969/j.issn.1006-9771.2019.11.013

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (11): 1332-1335.doi: 10.3969/j.issn.1006-9771.2019.11.013

脑梗死患者基于跑台步行的步态分析

杨智权, 刘爱贤, 聂忆秋

首都医科大学附属北京康复医院神经康复中心，北京市 100144

收稿日期:2019-02-17 修回日期:2019-05-05 出版日期:2019-11-25 发布日期:2019-11-21
通讯作者: 刘爱贤，E-mail： yangzhiquan80@hotmail.com E-mail:yangzhiquan80@hotmail.com
作者简介:杨智权(1980-)，男，汉族，内蒙古包头市人，硕士，副主任医师，主要研究方向：神经康复。

Gait Analysis in Patients with Cerebral Infarction: Study with Treadmill Walking

YANG Zhi-quan, LIU Ai-xian, NIE Yi-qiu

Neurorehabilitation Center, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China

Received:2019-02-17 Revised:2019-05-05 Published:2019-11-25 Online:2019-11-21
Contact: LIU Ai-xian, E-mail: yangzhiquan80@hotmail.com E-mail:yangzhiquan80@hotmail.com

摘要/Abstract

摘要： 目的观察脑梗死偏瘫患者跑台步行中足底压力与步行周期的特点。方法 2017年4月至2018年11月，脑梗死偏瘫患者24例采用FDM-T步态分析系统进行步态分析，比较患侧与健侧的步行周期、足底压力分布与足底时空变化参数的差异。结果患侧较健侧站立相明显缩短(t = -3.343, P < 0.01)，以站立中期较明显(t = -3.241, P < 0.01)；迈步相明显延长(t = 3.342, P < 0.01)；中足最大力(t = -2.513, P < 0.05)、中足接触时间(t = -2.631, P < 0.05)减小；足偏角明显增大(t = 3.072, P < 0.01)。结论增强患侧站立负重和立位平衡功能训练以延长站立相，加强站立中期膝关节控制能力，纠正患侧踝关节跖屈、内翻和足偏角，有利于改善脑梗死偏瘫患者步行能力和步态。

关键词: 脑梗死, 步态, 足底压力, 步行周期

Abstract: Objective To observe the characteristics of plantar pressure and walking cycle in hemiplegic patients with cerebral infarction. Methods From April, 2017 to November, 2018, 24 hemiplegic patients with cerebral infarction were analyzed the gait with FDM-T Gait Analysis System. The walking cycle, plantar pressure distribution and plantar spatial-temporal parameters were compared between the paralyzed side and the non-paralyzed side. Results Compared with the non-paralyzed side, the standing phase decreased in the paralyzed side (t = -3.343, P < 0.01), as well as the middle stage of standing (t = -3.241, P < 0.01); while the walking phase increased (t = 3.342, P < 0.01), the maximum pressure of the middle foot (t = -2.513, P < 0.05) and the maximum strength time of the middle foot (t = -2.631, P < 0.05) decreased, and foot angle increased (t = 3.072, P < 0.01). Conclusion Standing weight bearing and standing balance training on paralyzed side to extense standing phase, knee joint control training in the middle stage of standing, and correction of metatarsal flexion, pronation and foot deviation, are beneficial to improve walking ability and gait.

Key words: cerebral infarction, gait, plantar pressure, walking cycle

中图分类号:

R743.3

杨智权, 刘爱贤, 聂忆秋. 脑梗死患者基于跑台步行的步态分析[J]. 《中国康复理论与实践》, 2019, 25(11): 1332-1335.

YANG Zhi-quan, LIU Ai-xian, NIE Yi-qiu. Gait Analysis in Patients with Cerebral Infarction: Study with Treadmill Walking[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(11): 1332-1335.

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脑梗死患者基于跑台步行的步态分析

Gait Analysis in Patients with Cerebral Infarction: Study with Treadmill Walking

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