摘要
目的探究矫形鞋垫联合运动贴布对脑卒中恢复期足内翻患者步行障碍的影响。方法选取2018年9月至2020年10月于本院接受康复治疗的65例脑卒中恢复期足内翻患者作为研究对象,其中2018年9月至2019年9月就诊患者作为对照组(n=32),就诊时间为2019年10月至2020年10月就诊患者作为研究组(n=33)。对照组接受常规康复训练治疗,研究组在对照组基础上进行矫形鞋垫联合运动贴布治疗,比较两组不同时间点步行功能、下肢运动功能、平衡功能及步态功能评分。结果治疗前,两组功能性步行能力量表(FAC)评估等级比较差异无统计学意义;治疗4、8周后,研究组FAC评估等级均优于对照组,差异有统计学意义(P<0.05)。两组简式下肢功能量表(FMA)评分、Berg平衡量表(BBS)评分组间、时间、交互比较差异有统计学意义(P<0.05)。组内比较:两组治疗后各时间点FMA及BBS评分均高于前一时间点,差异有统计学意义(P<0.05)。组间比较:治疗前,两组FMA及BBS评分比较差异无统计学意义;治疗4、8周后,研究组FMA及BBS评分均高于对照组,差异有统计学意义(P<0.05)。治疗8周后,研究组步速快于对照组,起立行走测试时间短于对照组,生理耗能指数(PCI)小于对照组,差异有统计学意义(P<0.05)。结论矫形鞋垫联合运动贴布可明显改善脑卒中恢复期足内翻患者步行障碍,有效提高下肢步行功能、运动功能及平衡性。
Objective To explore the effect of orthopedic insole combined with exercise tape on walking impairment in patients with foot varus during convalescence of stroke.Methods A total of 65 stroke patients with foot varus who received rehabilitation treatment in our hospital from September 2018 to October 2020 were selected as the study subjects,and patients who visited our hospital from September 2018 to September 2019 were selected as the control group(n=32),patients who visited our hospital from October 2019 to October 2020 were selected as the study group(n=33).The control group received routine rehabilitation training,and the research group received orthopedic insole combined with exercise patch treatment on the basis of the control group,the walking function,lower limb motor function,balance function and gait function scores between the two groups were compared at different time points.Results Before treatment,there was no significant difference in functional ambulation category scale(FAC)assessment between the two groups;after 4,8 weeks of treatment,the FAC levels improvement in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).There were significant difference in the scores of the Fugl-Meyer assessment(FMA)and Berg balance scale(BBS)between the two groups of group,time points and interaction(P<0.05).Comparison on within the group:the FMA and BBS scores of the two groups at each time point after treatment were higher than those of the previous time point,and the differences were statistically significant(P<0.05).Comparsion between groups:before treatment,there was no significant difference in FMA and BBS scores between the two groups;after 4,8 weeks of treatment,the FMA and BBS scores in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 8 weeks of treatment,the walking speed in the study group was faster than that in the control group,the standing and walking test time was shorter than that in the control group,and the physiological cost index(PCI)was smaller than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The combination of orthopedic insole and exercise tape can significantly improve the walking disorder of the patients with foot varus during the convalescent period of stroke,and effectively improve the walking function,motor function and balance of the lower limbs.
作者
黄丽钦
罗玲华
陈健
HUANG Liqin;LUO Linghua;CHEN Jian(Department of Rehabilitation Medicine,the First Hospital of Nanchang,Nanchang,Jiangxi,330008,China)
出处
《当代医学》
2023年第11期100-103,共4页
Contemporary Medicine
基金
江西省卫生健康委科技计划(202211626)。
关键词
矫形鞋垫
运动贴布
脑卒中
足内翻
步行障碍
下肢运动
Orthopedic insole
Athletic tape
Stroke
Strephenopodia
Dysbasia
Lower limb movement
作者简介
通信作者:陈健,E-mail:doctorchen1986@163.com。
