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跟腱稳定贴扎对慢性脑卒中患者被动关节活动度、计时起立行走测试、步态时间参数和跌倒风险的影响:一项横断面研究。

Effects of Walking With Talus-Stabilizing Taping on Passive Range of Motion, Timed Up and Go, Temporal Parameters of Gait, and Fall Risk in Individuals With Chronic Stroke: A Cross-sectional Study.

机构信息

Department of Physical Therapy, Graduate School, Yonsei University, Wonju, Republic of Korea.

Department of Physical Therapy, Graduate School, Yonsei University, Wonju, Republic of Korea.

出版信息

J Manipulative Physiol Ther. 2021 Jan;44(1):49-55. doi: 10.1016/j.jmpt.2020.07.007. Epub 2020 Nov 26.

Abstract

OBJECTIVE

The purpose of this study was to determine the effects of walking with talus-stabilizing taping on ankle dorsiflexion passive range of motion, the timed up-and-go test, temporal parameters of gait, and fall risk in individuals with chronic stroke.

METHODS

In this cross-sectional design study, 20 participants with chronic stroke (9 female, 11 male), aged 60.5 ± 8.1 years, were included. Three conditions were evaluated: barefoot, immediately after applying talus-stabilizing taping, and after 5 minutes of walking with talus-stabilizing taping. One-way repeated-measures analysis of variance was used to determine the differences in ankle dorsiflexion passive range of motion, timed up-and-go test results, temporal parameters of gait, and fall risk across the 3 conditions.

RESULTS

Ankle dorsiflexion passive range of motion, walking speed, and single-limb support phase were significantly improved after 5 minutes of walking with talus-stabilizing taping compared to those in the barefoot and immediately-after-taping conditions. The timed up-and-go test, double-limb support phase, and fall-risk results significantly decreased more after 5 minutes of walking with talus-stabilizing taping compared to barefoot and immediately after taping.

CONCLUSION

After the application of talus-stabilizing taping, ankle dorsiflexion passive range of motion, timed up-and-go test results, temporal parameters of gait, and fall risk were reduced in individuals with chronic stroke.

摘要

目的

本研究旨在确定使用跟骨稳定贴扎带行走对慢性脑卒中患者踝关节背屈被动活动范围、计时起立-行走测试、步态时间参数和跌倒风险的影响。

方法

在这项横断面设计研究中,纳入了 20 名慢性脑卒中患者(9 名女性,11 名男性),年龄 60.5±8.1 岁。评估了 3 种情况:赤脚、立即使用跟骨稳定贴扎带后、使用跟骨稳定贴扎带行走 5 分钟后。采用单因素重复测量方差分析比较 3 种情况下踝关节背屈被动活动范围、计时起立-行走测试结果、步态时间参数和跌倒风险的差异。

结果

与赤脚和立即使用贴扎带后相比,使用跟骨稳定贴扎带行走 5 分钟后,踝关节背屈被动活动范围、行走速度和单腿支撑期明显改善。计时起立-行走测试、双腿支撑期和跌倒风险结果在使用跟骨稳定贴扎带行走 5 分钟后比赤脚和立即使用贴扎带后显著降低。

结论

在使用跟骨稳定贴扎带后,慢性脑卒中患者的踝关节背屈被动活动范围、计时起立-行走测试结果、步态时间参数和跌倒风险降低。

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