长下肢矫形器在偏瘫康复中的应用

Effect of Long Leg Orthosis on Adult Hemiplegia

目的探讨穿戴长下肢矫形器对重度偏瘫患者下肢功能康复的特点。方法38例下肢严重瘫痪,康复治疗效果不佳的偏瘫患者,分为应用长下肢矫形器加康复训练(矫形器组)和单纯康复训练(对照组)两组。训练前和训练后1个月,分别采用Fugl-Meyer下肢运动功能评定量表、Berg平衡量表、Holden步行功能量表、改良的Barthel指数对患者的运动、平衡、行走和日常生活能力进行评价。结果1个月后,两组间除Fugl-Meyer下肢运动功能评定量表分无显著性差异(P>0.05)外,Berg平衡量表、Holden步行功能量表、改良的Barthel指数分均有显著性差异(P<0.01),矫形器组明明显优于对照组。结论对适宜应用长下肢矫形器的偏瘫患者,应该积极佩戴矫形器。

Objective To investigate the effect of long leg orthosis on lower limb function rehabilitation of hemiplegics. Methods 38 patients with severe hemiplegia were randomized into the orthosis group （21 cases） and control group （17 cases）. All patients were received rehabilitation training, but the patients in the orthosis group wearing long leg orthosis while training. They were assessed with Fugl-Meyer scale for lower limb, Berg Balance Scale, Holden functional walking scale, Modified Barthel Index before and 1 month after training. Results The scores of Berg Balance Scale, Holden Functional Walking Scale and Modified Barthel Index in the orthosis group were better than those of the control group （P〈0. 01） 1 month after training, whereas no significant difference was found in score of Fugl-Mayer Assessment （P〉0. 05）. Conclusion It＇s better for those patients with severe hemiplegia wearing long leg orthosis while training.