脑卒中后遗症的步行功能康复

Treatment for Walking of a Stroke Patient

步行功能的控制由皮质和皮质下组织产生的脊髓上神经信息,以及位于脊髓的中枢模式发生器和腿部皮肤、肌肉及足部输入的本体感觉反馈共同组成。本文运用Bobath的基本理念,对1例左侧偏瘫患者的病例进行分析,探讨脑卒中患者步行功能训练的方法,并对在临床操作中评定和设定训练计划时出现的问题进行讨论。

Control of walking consists of the supraspinal input from cortical and subcortical structures,and central pattern generator（CPG） in a spinal cord and sensory feedback,primarily somatosensory information from the skin and muscles of leg and foot.This paper ex-plored the treatment of walking for the patient,left hemiplegia,through the single case study as the basis of Bobath concepts.The clinical problem through the assessment and the contents of treatment was discussed.