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下肢矫形器疗法对脑卒中偏瘫患者运动功能恢复的影响 被引量:8

Effects of lower limb orthosis therapy on the recovery of motor function in the post-stroke hemiplegic patients
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摘要 目的:观察下肢矫形器疗法与运动疗法相结合,对脑卒中患者下肢运动功能障碍改善恢复的影响。方法:2002-04/2003-12在十堰市中医院假肢矫形中心接受治疗的脑卒中偏瘫患者67例。分为下肢矫形器疗法康复组35例和常规康复组32例,下肢矫形器康复组根据患者的运动功能情况选择用膝踝足矫形器(knee-ankel-foot-orthosis,KAFO)或踝足矫形器(ankle-foot-orthosis,AFO),并与运动疗法相结合的治疗方法,常规康复组采用常规运动疗法。结果:经佩带矫形器KAFO或AFO结合运动疗法。经两三个月的治疗后,矫形器康复组总有效率为97%,常规康复组总有效率为81%,经统计学处理,差异有非常显著性意义(P<0.01)。结论:下肢矫形器疗法可以促进脑卒中偏瘫患者运动功能的改善及恢复。 AIM:To study the effects of lower limb orthosis therapy combined with cinesiateics on the recovery of motor function in the stroke patients with hemiplegia. METHODS:Totally 67 stroke patients with hemiplegia treated in the Department of Prosthetics and Orthotics of Shiyan Hospital of Traditional Chinese Medicine,between April 2002 and December 2003,were randomly divided into two groups:lower limb orthosis therapy rehabilitation group(35 patients) and conventional rehabilitation group(32 patients).According to the motor function of patients,the patients in the lower limb orthosis therapy rehabilitation group were given knee- ankel- foot- orthosis(KAFO) or ankle- foot- orthosis(AFO)with cinesiateics, the conventional rehabilitation group received conventional cinesiateics. RESULTS:After 2 to 3 months of treament,the total efficiency was 97% in the orthosis therapy rehabilitation group,and 81% in the conventional rehabilitation group.The post- treatment evalvation showed there was a significant difference between the two groups( P< 0.01) . CONCLUSION:Lower limb orthosis therapy can promote and ameliorate motor function recovery and amelioration in stroke patients with hemiplegia.
出处 《中国临床康复》 CSCD 北大核心 2005年第9期6-7,共2页 Chinese Journal of Clinical Rehabilitation
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