步态分析在益阳灸治疗痉挛性步态中的应用思路

Application of gait analysis in treating spastic gait by the Yiyang moxibustion

益阳灸对中风后肢体痉挛具有良好的治疗效果,但缺乏公认的评价方法,尤其对中风痉挛步态的疗效评定,缺乏特异性、敏感性的评价指标。而步态分析可检测中风后痉挛性偏瘫患者在时间/空间参数、运动学、表面肌电等方面明显特异的改变,较影像学评估及自我评估量表能提供更详实而客观的静动态数据,反映痉挛性偏瘫步态的严重度和日常活动能力,并对病程进展和影响因素进行评估,为临床治疗效果评价提供依据。

The Yiyang moxibustion (益阳灸) has a good therapeutic effect on limb paralysis after stroke,but it is lack of accepted evaluation method,especially for spastic gait.Gait analysis can detect significant and specific changes in time /space parameters,kinematics and surface EMG of patients with spastic gait.It provides more accurate and objective of the static and dynamic data than the imaging assessment and self-assessment scale.It reflects the severity of stagnation gait and daily activity ability,and evaluates the progression and influencing factors of the disease,then provide a basis for clinical therapeutic effect evaluation.