踝足矫形器对小脑卒中患者步行能力的影响  

Effects of ankle-foot orthosis on the walking ability of patients with cerebellar apoplexy

作　　者：周俊香 韦信暖 林涛 黄建斌 林芳芳 黄雯晖 ZHOU Junxiang;WEI Xinnuan;LIN Tao;HUANG Jianbin;LIN Fangfang;HUANG Wenhui(Department of Rehabilitation Medicine,Ningde Hospital Affiliated to Fujian Medical University,Ningde Fujian 352100,China;Fujian Provincial People＇s Hospital)

机构地区：[1]福建医科大学附属宁德市医院康复医学科,福建宁德352100 [2]福建省人民医院

出　　处：《中国民康医学》2018年第18期81-82,125,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察踝足矫形器(Ankle-foot orthosis,AFO)对小脑卒中患者步行能力的影响。方法:将38例小脑卒中后立位平衡功能障碍的患者按随机数表法分为研究组与对照组各19例,对照组给予常规康复训练,研究组在对照组基础上予佩戴踝足矫形器,比较治疗前后两组Berg平衡量表(BBS)评分、3米计时起立行走测试(TUGT)及10米最大步行速度(MWS)。结果:治疗后两组的MWS、BBS评分高于治疗前,TUGT评分低于治疗前,差异有统计学意义(P<0.05),研究组在MWS、BBS的评分高于对照组,TUGT评分低于对照组,差异均有统计学意义(P<0.05)。结论:在常规康复训练基础上,佩戴踝足矫形器可明显改善小脑卒中后立位平衡功能障碍患者的步行能力。Objective： To observe clinical effects of ankle-foot orthosis （AFO） on walking ability of patients with cerebellar apoplexy. Methods： 38 patients with standing balance dysfunction after cerebellar stroke were divided into study group （ n =19） and control group （ n =19） according to the random number table method. The control group was given routine rehabilitation training, while the study group was given the AFO on the basis of the control group. The Berg balance scale （BBS） score, the 3-meter timed up and go test （TUGT） and the 10-meter maximum walking speed （MWS） were compared between the two groups before and after the treatment. Results： After the treatment, the scores of MWS and BBS in the two groups were higher than those before the treatment; the TUGT scores were lower than those before the treatment, and the differences were statistically significant （ P 〈0.05）. The scores of MWS and BBS in the study group were higher than those in the control group, the TUGT score was lower than that in the control group, and the differences were statistically significant （ P 〈0.05）. Conclusions： The AFO in the treatment of cerebellar apoplexy patients with standing balance dysfunction can improve the walking ability significantly.

关 键 词：小脑卒中 平衡功能障碍 踝足矫形器 步行能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]