自助具和矫形器在脑卒中偏瘫患者康复中的应用进展

Research progress about self-help tools and orthotics in the rehabilitation of patients with hemiplegia due to cerebral stroke

脑卒中又叫偏瘫或中风,是中老年人常见脑血管疾病,其是世界上致死率和致残率最高的疾病之一。脑卒中发病3个月以内指导患者进行康复训练是日常生活自理的必要途径,但3个月以后仍不见效就需要借助矫形器、自助具和环境改造等技术来最大限度地提高脑卒中偏瘫患者的自理能力。矫形器、自助具和环境改造等技术能最大限度地提高脑卒中偏瘫患者的自理能力。我们从临床研究方面对近年矫形器和自助具应用于脑卒中患者的文献进行综述,发现大量研究已证实其应用能改善脑卒中后偏瘫患者运动功能和日常生活活动能力,但临床研究中仍存在一些问题,有待进一步探讨。本文对不同类型矫形器和自助具对改善脑卒中后偏瘫患者运动功能和日常生活活动能力的相关研究进行综述。

Cerebral apoplexys,also known as hemiplegia or stroke,is a common cerebrovascular disease in middle-aged and elderly people,and it is one of the diseases with the highest fatality and disability rates in the world.It is a necessary way for the patients to perform rehabilitation training within 3 months after the onset of stroke.However,if there is still no effect after 3 months,orthotics,self-help equipment and environmental modification are needed to improve maximatily the self-care ability of patients with hemiplegia due to cerebral stroke.And orthotics,self-help equipment and environmental modification can maximatily improve the self-care ability of patients with hemiplegia due to cerebral stroke.We have reviewed the literature about the application of orthopedic devices and self-help devices in patients with verebral stroke in recent years from the aspects of clinical studies,and found that a large number of studies have proved that their application can improve the motor function and daily life activity of patients with post-stroke hemiplegia,however,there are still some problems that have to be further explored.This article reviews the related researches about the effects of different types of orthopedic devices and self-help devices in improving the motor function and daily life activity in patients with hemiplegia due to cerebral stroke.