脑卒中偏瘫患者康复治疗前后的三维步态分析  

3D Gait Analysis of Stroke Hemiplegic Patients before and after Rehabilitation

作　　者：卢利萍[1,2] 桑德春[1,2] 邵翠霞[3] 刘海荣[3] 刘建华[2] 李媛媛[3] 

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院,北京市100068 [3]北京市残疾人康复服务指导中心,北京市100070

出　　处：《中国康复理论与实践》2014年第8期752-755,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2012CZ-25)

摘　　要：目的分析脑卒中偏瘫患者康复治疗前后的三维步态特点。方法采用三维步态分析仪对28例脑卒中偏瘫患者6周的常规康复训练前后分别进行三维步态分析检查。结果治疗后患侧下肢站立相百分比较前增加(P<0.05),摆动相百分比较前减少(P<0.05),较前接近正常值;患侧下肢的步长、跨步长,步速均较前增加(P<0.05);患者髋关节内收外展、屈曲伸展,膝关节屈曲伸展,踝关节内外旋转、内翻外翻、背屈跖屈均较前改善(P<0.05)。结论三维步态分析系统能定量地评价患者的步态情况,可作为康复疗效评定的指标之一。Objective To explore the 3D gait analysis of stroke hemiplegic patients. Methods 28 stroke hemiplegic patients were exam-ined with the 3D gait analysis system before and after 6-week rehabilitation. Results After rehabilitation, support phase time of the affected lower limb increased and swing phase time decreased （P〈0.05）. Step length, stride length and walking speed increased （P〈0.05）. There was significantly difference in range of motion （ROM） of hip deduction/abduction, flexion/extension, and knee flexion/extension, and ankle inter-nal/external rotation, varus/eversion, dorsiflexion/plantar flexion before and after rehabilitation （P〈0.05）. Conclusion 3D gait analysis sys-tem can evaluate the patient＆#39;s gait objectively and quantitatively, and provide the basis for rehabilitation assessment.

关 键 词：脑卒中 偏瘫 三维步态分析 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]