脑卒中后偏瘫患者足下垂和内翻的康复治疗  

Rehabilitation therapy of drop and equinovarus foot in hemiparetic patients

作　　者：陆蓉蓉[1] 吴倍华 白玉龙[1,3] 

机构地区：[1]复旦大学附属华山医院康复医学科,上海200040 [2]上海市浦东新区黄楼社区卫生服务中心,上海201299 [3]复旦大学附属华山医院北院康复医学科,上海201901

出　　处：《上海医药》2017年第1期7-11,共5页Shanghai Medical & Pharmaceutical Journal

基　　金：上海市卫生和计划生育委员会科研项目(项目编号:20134124)

摘　　要：脑卒中是世界上致死率和致残率最高的疾病之一,脑卒中后偏瘫则是脑卒中后患者最常出现的功能障碍。大多数脑卒中后偏瘫患者肢体远端功能的恢复较差,常遗留有足下垂和内翻,严重影响患者的步态,并易引起下肢损伤,导致摔倒。目前临床上对脑卒中后偏瘫患者的足下垂和内翻有多种康复治疗方法,包括运动训练、踝足矫形器治疗、低频电刺激治疗、A型肉毒毒素注射治疗、肌内效贴贴扎治疗和外科手术治疗。本文就脑卒中后偏瘫患者足下垂和内翻的康复治疗作一概要介绍。Stroke is one of the diseases with the highest morbidity and mortality in the world and hemiplegia is the most common impairment after stroke. The recovery of the distant part of the extremity in most patients is poor and most of the survivors have drop and equinovarus foot which can significantly affect the gait of the patients and can lead to lower limb injuries and even result in the fall. Now, there exist several protocols for the treatment of drop and equinovarus foot, including exercise training, ankle foot orthosis, low frequency electrical stimulation, injection of botulinum toxin type A, kinesio taping and surgery. In this paper, we briefly introduce the rehabilitation treatment of patients with drop and equinovarus foot.

关 键 词：脑卒中 足下垂和内翻 康复治疗 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]