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踝足矫形器(AFO)对偏瘫性脑卒中患者身体摇摆及步行能力的影响

Effect of ankle-foot orthosis (AFO) on body sway and walking capacity of hemiparetic stroke patients.

作者信息

Mojica J A, Nakamura R, Kobayashi T, Handa T, Morohashi I, Watanabe S

机构信息

Institute of Rehabilitation Medicine and Narugo Branch Hospital, Tohoku University, Japan.

出版信息

Tohoku J Exp Med. 1988 Dec;156(4):395-401. doi: 10.1620/tjem.156.395.

DOI:10.1620/tjem.156.395
PMID:3245041
Abstract

Body sway, the total length of the sway of the center of foot pressure (CFP) and maximum walking speed were examined with and without AFO in eight post-stroke hemiparetic patients. Without AFO, the CFP moved towards the non-affected limb and the body sway was large. Wearing AFO, the CFP shifted to the midposition and the body sway became small. Without AFO, the time to walk the prescribed distance was longer, the cadence slower and the steps shorter than with AFO. However, there was no correlation between the improvements in body sway and walking capacity. The AFO compensated only for the instability of the ankle joint but not for the dysfunction of the central nervous system after the stroke.

摘要

对8名中风后偏瘫患者在佩戴和不佩戴踝足矫形器(AFO)的情况下,进行了身体摆动、足底压力中心(CFP)摆动的总长度和最大步行速度的检查。不佩戴AFO时,CFP向未受影响的肢体移动,身体摆动较大。佩戴AFO时,CFP移至中间位置,身体摆动变小。不佩戴AFO时,走完规定距离的时间更长,步频更慢,步幅比佩戴AFO时更短。然而,身体摆动的改善与步行能力之间没有相关性。AFO仅补偿了踝关节的不稳定性,而没有补偿中风后中枢神经系统的功能障碍。

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