Gialanella B, Bonomelli M
Fondazione S. Maugeri, Clinica del Lavoro e della Riabilitazione, IRCCS, Centro di Riabilitazione di Gussago, BS.
G Ital Med Lav Ergon. 1999 Oct-Dec;21(4):294-7.
The aims of this study were: 1) to evaluated the degree of walking of hemiplegic patients after femur fracture, 2) to evaluate if the neurological damage interferes with the recovery of walking. We studied 51 hemiplegic patients with femur fracture. All patients could walk without any help before the fracture. At the end of the rehabilitation period we had the following results: 5.8% of patients regained full walking independence; 37.2% walked with a cane; 43.1% with a quadripod; 9.8% walked with assistance; 3.9% remained unable to walk. 50.9% of them regained their prefracture functions. 96.1% returned directly to their own home, the remaining 3.9% were admitted to Geriatric hospitals. To address the second aim, we divided the same patients into two groups of 20 patients each (A = mild impairment; B = severe impairment) according to Mathew's scale. At the end of treatment, 95% of group A and 75% of group B regained full walking independence.
本研究的目的是:1)评估股骨骨折后偏瘫患者的行走程度,2)评估神经损伤是否会干扰行走功能的恢复。我们研究了51例股骨骨折的偏瘫患者。所有患者在骨折前均可独立行走。在康复期结束时,我们得到了以下结果:5.8%的患者恢复了完全独立行走能力;37.2%的患者需借助拐杖行走;43.1%的患者需借助四脚架行走;9.8%的患者需他人协助行走;3.9%的患者仍无法行走。其中50.9%的患者恢复了骨折前的功能。96.1%的患者直接回到了自己家中,其余3.9%的患者住进了老年医院。为了实现第二个目标,我们根据马修量表将相同的患者分为两组,每组20例(A组 = 轻度损伤;B组 = 重度损伤)。治疗结束时,A组95%的患者和B组75%的患者恢复了完全独立行走能力。
1)股骨骨折不影响中风患者行走功能的恢复,2)轻度神经损伤患者的行走功能恢复更好。