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采用绷带技术的踝关节稳定带对慢性卒中患者踝关节活动范围、平衡及时空步态参数的影响:一项随机对照试验

Effect of an Ankle Stabilization Strap Using a Badaging Technique on Ankle Range of Motion, Balance, and Spatiotemporal Gait Parameters in Patients with Chronic Stroke: A Randomized Controlled Trial.

作者信息

Han Sangyong, Kang Taewoo, Park Donghwan

机构信息

Department of Physical Therapy, Graduate School, College of Health Science, Kyungnam University, Changwon-si 51767, Republic of Korea.

Department of Physical Therapy, College of Health and Welfare, Woosuk University, Wanju-gun 55338, Republic of Korea.

出版信息

Life (Basel). 2025 Aug 14;15(8):1291. doi: 10.3390/life15081291.

Abstract

BACKGROUND

Elastic ankle straps are frequently used to improve ankle stability; however, they often fail to provide adequate support due to material limitations. Therefore, this study aimed to investigate the effects of an ankle stabilization strap applied using a bandaging technique on ankle range of motion, balance, and spatiotemporal gait parameters in patients with chronic stroke.

METHODS

Twenty-eight patients with chronic stroke were randomly assigned to either an ankle stabilization strap with bandaging technique (ASB, n = 14) group or an ankle-foot orthosis (AFO, n = 14) group. Both groups participated in treadmill gait training for 10 min per day, five days per week, for four weeks. Outcome measures included ankle dorsiflexion range of motion, total center of pressure displacement, timed up and go test, gait speed, and step length. A mixed-design analysis of variance was used for statistical analysis.

RESULTS

All outcome variables showed significant group-by-time interaction effects, and the ASB group exhibited significant within-group improvements after the intervention ( < 0.05).

CONCLUSIONS

The ankle stabilization strap applied using a bandaging technique effectively improved ankle mobility, balance, and gait in patients with chronic stroke, suggesting its potential as a useful intervention in stroke rehabilitation.

摘要

背景

弹性脚踝绑带常用于改善脚踝稳定性;然而,由于材料限制,它们往往无法提供足够的支撑。因此,本研究旨在探讨采用包扎技术应用的脚踝稳定绑带对慢性中风患者的踝关节活动范围、平衡能力和时空步态参数的影响。

方法

28例慢性中风患者被随机分为采用包扎技术的脚踝稳定绑带组(ASB,n = 14)或踝足矫形器组(AFO,n = 14)。两组患者均参加跑步机步态训练,每天10分钟,每周5天,共4周。观察指标包括踝关节背屈活动范围、总压力中心位移、计时起立行走测试、步速和步长。采用混合设计方差分析进行统计学分析。

结果

所有观察变量均显示出显著的组间×时间交互效应,且ASB组在干预后组内有显著改善(<0.05)。

结论

采用包扎技术应用的脚踝稳定绑带可有效改善慢性中风患者的踝关节活动度、平衡能力和步态,表明其在中风康复中作为一种有用干预措施的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d8/12387553/d30e3e508982/life-15-01291-g001.jpg

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