脑卒中偏瘫患者坐-站转移生物力学分析研究进展  

Advance in Biomechanical Analysis of Sit-to-stand Movement in Hemiplegic Stroke Patients(review)

作　　者：吴雪娇 郑洁皎[2] 夏汶[2] 刘翠鲜[1] 曲冰[2] WU Xue-jiao;ZHENG Jie-jiao;XIA Wen;LIU Cui-xian;QU Bing(Shanghai University of Sport, Shanghai 200438, China;Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China)

机构地区：[1]上海体育学院,上海市200438 [2]复旦大学附属华东医院,上海市200040

出　　处：《中国康复理论与实践》2018年第3期290-295,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：上海市卫生计生系统重要薄弱学科(康复医学)建设项目(No.2015ZB0402);上海申康医院发展中心上海市市级医院新兴前沿技术联合攻关项目(No.SHDCI2014126);上海加快中医药事业发展三年行动计划项目(No.ZY3-LCPT-1-1008)~~

摘　　要：脑卒中偏瘫常导致患者坐-站转移功能障碍。本文从生物力学角度综述脑卒中偏瘫患者在坐-站转移过程中的运动学、动力学及表面肌电的研究进展,介绍脑卒中偏瘫患者坐-站转移功能障碍的康复方案。发现在自然、对称和健足置后等三种不同足位条件下站起,患者的稳定性、坐-站转移时间、下肢负重对称性、肌肉激活程度和时序都有所不同;偏瘫患者进行早期坐-站转移康复训练或配合其他康复可改善患侧下肢功能,预防跌倒和患侧肢体失用。Hemiplegics after stroke are often disabled in sit-to-stand(STS).This article discussed the biomechanics of STS in the hemiplegic stroke patients,in terms of kinematics,kinetics and surface electromyography,and the rehabilitation for the stroke patients with STS dysfunction.It was found that the stability,duration,symmetry of support and degree and sequence of muscular activation were different when the patients finished the STS task in three foot positions of natural,symmetrical and unaffected foot behind.The early STS rehabilitation training or other rehabilitation may improve the function of the hemiplegic lower extremity to prevent falls and apraxia.

关 键 词：脑卒中 偏瘫 坐-站转移 足位 生物力学 表面肌电图 康复 综述 

分 类 号：R743.3[医药卫生—神经病学与精神病学]