Kitisomprayoonkul Wasuwat, Cheawchanwattana Sasiya, Janchai Siriporn, E-Sepradit Permsab
Department of Rehabilitation Medicine, King Chulalongkorn Memorial Hospital, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
J Med Assoc Thai. 2005 Sep;88 Suppl 4:S79-84.
To determine the effect of shoe lift, cueing and cueing with shoe lift on weight bearing in paretic leg of stroke hemiparetic patients and compare the effect between each condition.
Cross-sectional experimental study.
Department of Rehabilitation Medicine and Department of Ear Nose and Throat, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Chulalongkorn University.
Ten hemiparetic patients as a result of unilateral stroke.
Weight symmetry of each patient was measured by posturography during quiet stance and in conditions of compelled weight shift. Each patient was started with quiet standing, standing with shoe lift under the sound leg; cueing and cueing with shoe lift under the sound leg respectively. Weight symmetry scores were recorded for comparing the weight distribution between each foot.
There were 10 hemiparetic patients. Seven were male. The average age was 53.4 +/- 8.45 years. There were 5 right hemiparesis and 5 left hemiparesis. The average onset was 12.3 +/- 15.73 months. In the right hemiparetic patients, weight bearing in the paretic leg was significantly improved when cueing with shoe lift compared with quiet standing and with shoe lift (Backward p = 0.012, Forward p = 0.011 and Backward p = 0.001, Forward p = 0.036 respectively). In the left hemiparetic patients, weight bearing in the paretic leg was significantly improved when cueing compared with quiet standing (Backward p = 0.046), and when using the shoe lift (Backward p = 0.016). Cueing with shoe lift could significantly improve weight bearing in the paretic leg when compared with shoe lift alone (Backward p = 0.015). Shoe lift alone could improve weight bearing in the paretic leg of the right and left hemiparetic patients but was not statistically significant (p > 0.05).
Cueing with shoe lift under the sound leg can significantly improve weight bearing of the paretic leg of the right and left stroke hemiparetic patients.
确定鞋垫、暗示以及鞋垫与暗示相结合对中风偏瘫患者患侧下肢负重的影响，并比较每种情况之间的效果。
横断面实验研究。
朱拉隆功大学朱拉隆功国王纪念医院医学院康复医学科和耳鼻喉科。
10例因单侧中风导致偏瘫的患者。
在安静站立和强制体重转移的情况下，通过姿势描记法测量每位患者的体重对称性。每位患者先从安静站立开始，然后在健侧下肢使用鞋垫站立；分别进行暗示以及健侧下肢使用鞋垫并进行暗示。记录体重对称分数，以比较每只脚之间的体重分布。
有10例偏瘫患者。7例为男性。平均年龄为53.4±8.45岁。右侧偏瘫5例，左侧偏瘫5例。平均发病时间为12.3±15.73个月。在右侧偏瘫患者中，与安静站立和使用鞋垫相比，健侧下肢使用鞋垫并进行暗示时患侧下肢的负重有显著改善（向后p = 0.012，向前p = 0.011；向后p = 0.001，向前p = 0.036）。在左侧偏瘫患者中，与安静站立相比，暗示时患侧下肢的负重有显著改善（向后p = 0.046），使用鞋垫时也有显著改善（向后p = 0.016）。与单独使用鞋垫相比，健侧下肢使用鞋垫并进行暗示可显著改善患侧下肢的负重（向后p = 0.015）。单独使用鞋垫可改善右侧和左侧偏瘫患者患侧下肢的负重，但无统计学意义（p>0.05）。
健侧下肢使用鞋垫并进行暗示可显著改善左右侧中风偏瘫患者患侧下肢的负重。
