低温热塑踝足矫形器联合导向任务作业康复训练对老年脑卒中女性患者临床效果的影响  

Effect of low-temperature thermoplastic ankle-foot orthosis combined with guided task-based rehabilitation training on the clinical outcomes of elderly female stroke patients

作　　者：翟云 濮晓霞 ZHAI Yun;PU Xiao-xia(Department of Rehabilitation,Haining People's Hospital,Haining,Zhejiang 314400,China)

机构地区：[1]海宁市人民医院康复科,浙江海宁314400

出　　处：《中国妇幼保健》2025年第6期976-980,共5页Maternal and Child Health Care of China

基　　金：浙江省海宁市科技项目(2021057);浙江省海宁市重点调研课题(202015)。

摘　　要：目的探讨低温热塑踝足矫形器联合导向任务作业康复训练对老年脑卒中女性患者临床效果的影响。方法对2021年1月—2024年1月于海宁市人民医院就诊的120例老年脑卒中女性患者进行观察,随机将其分成对照组(导向任务作业康复训练)和观察组(低温热塑踝足矫形器联合导向任务作业康复训练),每组60例。比较两组患者踝关节跖屈与内翻角度、步态变化情况、肌肉痉挛情况及运动功能。结果康复训练前,两组患者的踝关节跖屈与内翻角度比较,差异无统计学意义(P>0.05);康复训练后,两组患者的踝关节跖屈与内翻角度均有所减少(P<0.05),观察组患者的踝关节跖屈(21.39±5.08)°与内翻角度(12.96±4.05)°较对照组患者的踝关节跖屈(23.67±5.24)°与内翻角度(14.68±3.27)°减少更为明显(t踝关节跖屈=2.420、t内翻角度=2.260,均P<0.05)。康复训练前,两组患者的步态变化情况比较,差异无统计学意义(P>0.05);康复训练后,两组患者的步态变化情况均有所提高(P<0.05),观察组患者的步长(46.89±5.27)cm、步频(103.57±11.84)步/min、步速(55.62±4.18)cm/s较对照组患者的步长(44.72±5.36)cm、步频(98.94±10.76)步/min、步速(53.48±5.27)cm/s提高更为明显,差异均有统计学意义(t_(步长)=2.236、t_(步频)=2.242、t_(步速)=2.464,均P<0.05)。康复训练前,两组患者的肌肉痉挛情况比较,差异无统计学意义(P>0.05);康复训练后,两组患者的肌肉痉挛情况均有所下降(均P<0.05),观察组患者的上肢肌肉痉挛(2.74±0.52)分、下肢肌肉痉挛(2.54±0.67)分较对照组患者的上肢肌肉痉挛(2.95±0.43)分、下肢肌肉痉挛(2.80±0.59)分下降更为明显(t_(上肢肌肉痉挛)=2.411、t_(下肢肌肉痉挛)=2.256,均P<0.05)。康复训练前,两组患者的运动功能比较,差异无统计学意义(P>0.05);康复训练后,两组患者的运动功能均有所提高(均P<0.05),观察组患者的上肢运动(14.26±3.75)分、下肢运动Objective To explore the impact of the low-temperature thermoplastic ankle-foot orthosis combined with guided task-based rehabilitation training on the clinical efficacy of elderly female stroke patients.Methods A total of 120 elderly female stroke patients who visited Haining People's Hospital from January 2021 to January 2024 were observed.They were randomly divided into the control group(guided task-based rehabilitation training)and the observation group(low-temperature thermoplastic ankle-foot orthosis combined with guided task-based rehabilitation training),with 60 cases in each group.The ankle plantar flexion and inversion angles,gait changes,muscle spasm conditions and motor functions of the two groups were compared.Results Before the rehabilitation training,there was no statistically significant difference in the ankle plantar flexion and inversion angles between the two groups(P>0.05).After the rehabilitation training,the ankle plantar flexion and inversion angles of both groups decreased(P<0.05).The ankle plantar flexion angle(21.39±5.08)°and inversion angle(12.96±4.05)°in the observation group were significantly lower than those in the control group,with the ankle plantar flexion angle(23.67±5.24)°and inversion angle(14.68±3.27)°in the control group(t_(for ankle plantar flexion)=2.420,t_(for inversion angle)=2.260,both P<0.05).Before the rehabilitation training,there was no statistically significant difference in the gait changes between the two groups(P>0.05).After the rehabilitation training,the gait changes of both groups improved(P<0.05).The step length(46.89±5.27)cm,step frequency(103.57±11.84)steps/min,and step speed(55.62±4.18)cm/s in the observation group were significantly higher than those in the control group,with the step length(44.72±5.36)cm,step frequency(98.94±10.76)steps/min,and step speed(53.48±5.27)cm/s in the control group(t_(for step length)=2.236,t_(for step frequency)=2.242,t_(for step speed)=2.464,all P<0.05).Before the rehabilitation training,there was no statistic

关 键 词：低温热塑踝足矫形器 导向任务作业 康复训练 老年 脑卒中 

分 类 号：R711[医药卫生—妇产科学]