【摘要】 目的探讨踝足矫形器(AFO)在卒中偏瘫异常步态患者康复中的应用效果。方法回顾性连续纳入广东省梅州市人民医院2013年1月至2015年6月卒中偏瘫患者60例,并按照入院单双号分为AFO组与非AFO组,每组各30例。非AFO组患者进行常规康复训练治疗,AFO组患者应用AFO进行治疗。治疗前后应用Berg平衡量表(BBS)评估患者平衡能力,10 m最大步行速度(MWS)评价患者的步行速度及生理消耗指数(PCI)评定步行效率,并进行两组比较。结果治疗后Brunnstrom分级两组差异有统计学意义(P<0.05);AFO组患者治疗后BBS评分和MWS分别为(39±5)分和(0.97±0.38)m/s,均高于治疗前[(33±4)分、(0.28±0.07)m/s]及非AFO组治疗后[(36±4)分和(0.54±0.31)m/s],差异均有统计学意义(均P<0.05);AFO组治疗后PCI为(0.84±0.30)分,低于治疗前[(1.32±0.31)分]及非AFO组治疗后[(0.96±0.33)分],差异均有统计学意义(均P<0.05)。结论卒中偏瘫异常步态患者应用AFO具有较好的临床疗效,能明显改善患者平衡状态,提高步行速度和效率。更多还原

【Abstract】 Objective To investigate the application effect of the ankle foot orthoses(AFO) in the rehabilitation of patients with hemiplegia and abnormal gait after stroke Methods Sixty consecutive stroked patients with hemiplegia admitted to Meizhou People’s Hospital,Guagdong Province from January in2013 to June in 2015 were enrolled retrospectively,and they were divided into either an AFO group or a non-AFO group(n = 30 in each group) according to the odd or even admission numbers.The patients in the non-AFO group were treated with conventional rehabilitation training and those in the AFO group were treated with AFO.Before and after treatment,the Berg balance scale(BBS) was used to assess the balance ability of the patients,10 m maximum walking speed(MWS) was used to assess the walking speed of the patients,and the physiological cost index(PCI) was used to assess the walking efficiency of the patients.Results After treatment,there was significant difference in Brunnstrom grade between the AFO group and the non-AFO group(P <0.05).The BBS score and MWS of the patients in the AFO group were 39 ±5 and 0.97 ±0.38 m/s respectively after treatment,and they were higher than those before treatment(33 ±4 and 0.28 ±0.07 m/s) and those of non-AFO group(36 ±4 and 0.54 ±0.31 m/s) after treatment.There were significant differences(all P <0.05).The PCI was 0.84 ±0.30 in the AFO group after treatment was0.84 ±0.30.It was lower than that before treatment(1.32 ±0.31) and that of non-AFO after treatment(0.96 ±0.33).There was significant difference(all P < 0.05).Conclusion The application of APO in stroked patients with hemiplegia and abnormal gait has better clinical efficacy.It can significantly improve the balance state of patients and improve the walking speed and efficiency.更多还原