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[足畸形步态训练或手术后偏瘫患者的步态分析]

[Gait analysis in hemiplegic patients after gait training or surgery of a foot deformity].

作者信息

Yamamoto H, Morita S

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1985 Mar;59(3):303-9.

PMID:4020227
Abstract

The change of gait in stroke patients after gait training or surgery for foot deformity was analyzed according to walking cycle and gait speed and cadence by means of the accelorometer or the large force plate. The results were summarized as follows. Twenty patients receiving gait training. Variation of the stride duration decreased gradually on both sides. The stance phase and the double support phase had the tendency to demonstrate equal percentage on both sides, decreasing in the unaffected side. The percentage values were higher than those in the normal person except a few cases. The cadence increased in all cases except one. Twenty-two patients following surgery for foot deformities. Walking cycle revealed almost the same result as that of cases receiving gait training. The percentage of the double support phase in the unaffected side characteristically approached that of the affected side after surgery, suggesting surgical benefits. Cadence decreased in 7 cases, while gait speed increased in all cases. It may come from the wider stride length after surgery.

摘要

通过加速度计或大型测力板,根据步行周期、步态速度和步频,分析了中风患者在进行步态训练或足部畸形手术后的步态变化。结果总结如下。20例接受步态训练的患者。两侧步幅持续时间的变化逐渐减小。站立期和双支撑期在两侧有显示相等百分比的趋势,在未受影响侧减少。除少数情况外,百分比值高于正常人。除1例外,所有病例的步频均增加。22例接受足部畸形手术的患者。步行周期显示出与接受步态训练的病例几乎相同的结果。手术后,未受影响侧的双支撑期百分比显著接近受影响侧,表明手术有益。7例步频下降,而所有病例的步态速度均增加。这可能源于手术后步幅更宽。

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