“8”字绷带对脑卒中伴膝过伸患者步行功能的影响

Effects of 8-word bandage on walking ability in patients of stroke with knee hyperextension

目的观察"8"字绷带对脑卒中伴膝过伸患者步行功能的影响。方法将50例脑卒中伴膝过伸患者随机分为观察组和对照组,每组25例。对照组采用以Bobath技术、Brunnstrom运动疗法、运动再学习疗法为主的常规康复训练;观察组在对照组的基础上,进行步行训练过程中使用"8"字绷带固定膝关节。2组患者均于治疗前和治疗8周后采用Holden步行功能分级、10 m最大步行速度和改良Barthel指数评定患者步行功能、最大步行速度和日常生活自理能力。结果治疗前2组患者各项评分差异无统计学意义,治疗8周后,2组患者的Holden步行功能分级、10 m最大步行速度和改良Barthel指数评分较治疗前均有显著改善,且观察组各项指标改善情况显著优于对照组,差异有统计学意义(P<0.05)。结论使用"8"字绷带固定膝关节,能显著改善卒中患者膝过伸,从而改善患者步行功能,提高步行速度及日常生活自理能力。

Objective To observe the effect of the 8-word bandage on the walking ability of stroke patients with knee hyperextension. Methods Fifty patients with stroke combined with knee hyperextension were randomly divided into the observation group and the control group with 25 cases in each group. The control group was treated with conventional methods, including Bobath technology, Brunnstrom therapy and motor relearning primarily rehabilitation training. In addition to the conventional methods, patients in the observation group used 8-word bandage to fix knee joint in walking training. Before and after 8 weeks of treatment, Holden walking function classification, 10-meter maximum walking speed and improved Barthel index were adopted to evaluate the walking ability, maximum walking speed and the life ability of the patients. Results There were no significant differences in the scores before treatment between the two groups. The Holden walking function classification, the 10-meter maximum walking speed and the Barthel index scores were significantly improved after 8-week treatment in both two groups （P〈0.05）, and patient conditions were more significantly improved in the observation group than those of the control group （P〈0.05）. Conclusion Using 8-word bandage to fix knee joint can significantly improve knee hyperextension in patients with stroke, so as to improve the walking ability and activities of daily living.