《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2022, Vol. 28 ›› Issue (6): 653-658.doi: 10.3969/j.issn.1006-9771.2022.06.005
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Received:
2022-05-25
Revised:
2022-06-06
Published:
2022-06-25
Online:
2022-07-05
Contact:
WANG Mei
E-mail:wangmeipku@qq.com
CLC Number:
CHAI Li,WANG Mei. Effect of track body weight support walking training on lower limb motor function in stroke patients: based on ICF Core Set for Stroke[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2022, 28(6): 653-658.
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测量工具 | 内容 | 编码 | 类目名称 | 测量工具 | 内容 | 编码 | 类目名称 |
---|---|---|---|---|---|---|---|
FMA-LE | 跟腱反射(仰卧位) | b7500 | 牵张反射 | 转移 | d4103 | 坐下 | |
膝腱反射(仰卧位) | b7500 | 牵张反射 | b7305 | 躯干肌肉的力量 | |||
髋关节屈曲(仰卧位) | b7600 | 简单随意运动的控制 | d4200 | 坐姿移动自身 | |||
膝关节屈曲(仰卧位) | b7600 | 简单随意运动的控制 | 无支持闭目站立 | b760 | 随意运动控制功能 | ||
踝关节背曲(仰卧位) | b7600 | 简单随意运动的控制 | b260 | 本体感受功能 | |||
髋关节内收(仰卧位) | b7600 | 简单随意运动的控制 | b235 | 前庭功能 | |||
髋关节伸展(仰卧位) | b7600 | 简单随意运动的控制 | d4154 | 保持站姿 | |||
膝关节伸展(仰卧位) | b7600 | 简单随意运动的控制 | b7305 | 躯干肌肉的力量 | |||
踝关节跖屈(仰卧位) | b7600 | 简单随意运动的控制 | 双脚并拢无支持站立 | b760 | 随意运动控制功能 | ||
膝关节屈曲(坐位) | b7600 | 简单随意运动的控制 | b260 | 本体感受功能 | |||
踝关节背曲(坐位) | b7600 | 简单随意运动的控制 | d4154 | 保持站姿 | |||
膝关节屈曲(站立位) | b7600 | 简单随意运动的控制 | b7305 | 躯干肌肉的力量 | |||
b7603 | 手臂或腿的支撑功能 | 站立时上肢向前伸展并向前移动 | b760 | 随意运动控制功能 | |||
b7302 | 单侧身体肌肉的力量 | b260 | 本体感受功能 | ||||
b7305 | 躯干肌肉的力量 | d4154 | 保持站姿 | ||||
踝关节背屈(站立位) | b7600 | 简单随意运动的控制 | d4106 | 移动身体重心 | |||
b7603 | 手臂或腿的支撑功能 | d4452 | 伸 | ||||
b7302 | 单侧身体肌肉的力量 | b7305 | 躯干肌肉的力量 | ||||
b7305 | 躯干肌肉的力量 | 站立位时从地面捡起 | b760 | 随意运动控制功能 | |||
膝部屈肌反射(坐位) | b7500 | 牵张反射 | b260 | 本体感受功能 | |||
膝腱反射(坐位) | b7500 | 牵张反射 | d4101 | 蹲下 | |||
跟腱反射(坐位) | b7500 | 牵张反射 | d4105 | 屈身 | |||
跟膝胫试验(震颤) | b7600 | 简单随意运动的控制 | d4400 | 拾起 | |||
b7602 | 随意运动的协调 | d4154 | 保持站姿 | ||||
b7651 | 震颤 | d4106 | 移动身体重心 | ||||
跟膝胫试验(辨距) | b7600 | 简单随意运动的控制 | b7305 | 躯干肌肉的力量 | |||
b7602 | 随意运动的协调 | 站立位转身向后看 | b760 | 随意运动控制功能 | |||
跟膝胫试验(速度) | b7600 | 简单随意运动的控制 | b260 | 本体感受功能 | |||
b7602 | 随意运动的协调 | d4154 | 保持站姿 | ||||
6MWT | 地上标一条约30 m走道,在起始端和结束处及每隔3 m处标记,嘱患者沿步道往返行走,记录6 min行走距离 | b7600 | 简单随意运动的控制 | d4106 | 移动身体重心 | ||
b770 | 步态功能 | b7305 | 躯干肌肉的力量 | ||||
b455 | 运动耐受功能 | 转身360° | b760 | 随意运动控制功能 | |||
d4500 | 短距离步行 | b770 | 步态功能 | ||||
d4154 | 保持站姿 | d4106 | 移动身体重心 | ||||
b7302 | 单侧身体肌肉的力量 | d4500 | 短距离步行 | ||||
b7305 | 躯干肌肉的力量 | b7305 | 躯干肌肉的力量 | ||||
BBS | 由坐位站起 | b760 | 随意运动控制功能 | 无支持站立时将一只脚放于台阶或凳子上 | b760 | 随意运动控制功能 | |
d4153 | 保持坐姿 | d4106 | 移动身体重心 | ||||
d4104 | 站起 | d4154 | 保持站姿 | ||||
d4154 | 保持站姿 | b7305 | 躯干肌肉的力量 | ||||
b7305 | 躯干肌肉的力量 | b7302 | 单侧身体肌肉的力量 | ||||
无支持站立 | b760 | 随意运动控制功能 | 一只脚在前无支持站立 | b760 | 随意运动控制功能 | ||
d4154 | 保持站姿 | b260 | 本体感受功能 | ||||
b7305 | 躯干肌肉的力量 | d4154 | 保持站姿 | ||||
无靠背坐位 | b760 | 随意运动控制功能 | b7305 | 躯干肌肉的力量 | |||
d4153 | 保持坐姿 | 单腿站立 | b760 | 随意运动控制功能 | |||
b7305 | 躯干肌肉的力量 | b260 | 本体感受功能 | ||||
从站立位坐下 | b760 | 随意运动控制功能 | d4154 | 保持站姿 | |||
d4154 | 保持站姿 | d4106 | 移动身体重心 | ||||
d4103 | 坐下 | b7305 | 躯干肌肉的力量 | ||||
b7305 | 躯干肌肉的力量 | b7302 | 单侧身体肌肉的力量 | ||||
d4153 | 保持坐姿 |
"
项目 | 干预前 | 干预后 | 差值 | t值 | P值 |
---|---|---|---|---|---|
FMA-LE评分 | 16.53±3.85 | 26.0±3.82 | -9.47±5.60 | -6.557 | < 0.001 |
BBS评分 | 33.73±5.62 | 43.6±5.28 | -9.87±1.30 | -29.350 | < 0.001 |
6MWT距离/m | 119.96±17.93 | 145.19±17.45 | -25.23±18.54 | -5.271 | < 0.001 |
步速/m·s-1 | 0.31±0.06 | 0.40±0.05 | -0.09±0.02 | -20.131 | < 0.001 |
步态对称性 | |||||
步长对称比 | 1.29±0.05 | 1.18±0.04 | 0.12±0.05 | 9.407 | < 0.001 |
摆动相对称比 | 1.28±0.04 | 1.19±0.04 | 0.10±0.03 | 11.075 | < 0.001 |
支撑相对称比 | 1.30±0.05 | 1.21±0.04 | 0.09±0.03 | 9.886 | < 0.001 |
最大活动角度/° | |||||
屈髋 | 22.48±2.92 | 28.35±1.62 | -5.87±2.63 | -8.660 | < 0.001 |
伸髋 | 4.21±0.71 | 8.41±0.85 | -4.21±0.95 | -17.103 | < 0.001 |
屈膝 | 28.68±2.48 | 33.60±2.46 | -4.91±2.35 | -8.088 | < 0.001 |
伸膝 | 8.64±1.19 | 6.62±1.20 | 2.02±1.08 | 7.280 | < 0.001 |
踝背屈 | 4.06±1.29 | 4.12±1.27 | -0.07±0.12 | -2.081 | 0.056 |
踝跖屈 | 10.77±1.27 | 11.02±1.31 | -0.25±0.49 | -1.970 | 0.069 |
b770限定值 | 3.27±0.88 | 2.13±0.92 | 1.13±1.06 | 4.141 | 0.001 |
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