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Association between improved trunk stability and walking capacity using ankle-foot orthosis in hemiparetic patients with stroke: evidence from three-dimensional gait analysis 被引量:6
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作者 Lan Yue Xu Guang-qing +4 位作者 Huang Dong-feng Mao Yu-rong Chen Shao-zhen Pei Zhong Zeng Jin-sheng 《Chinese Medical Journal》 SCIE CAS CSCD 2013年第20期3869-3873,共5页
Background Restoration of both normal movement of the pelvis and centre of mass is a primary goal of walking rehabilitation in post-stroke patients because these movements are essential components of effective gait. T... Background Restoration of both normal movement of the pelvis and centre of mass is a primary goal of walking rehabilitation in post-stroke patients because these movements are essential components of effective gait. The aim of this study is to quantitatively analyze the effect of ankle-foot orthosis on walking ability, and to investigate the correlation between improvements in trunk motion and walking capacity. 展开更多
关键词 ankle-foot orthosis gait postural stability walking speed stroke
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动态与静态踝足矫形器对痉挛型脑性瘫痪儿童的疗效比较 被引量:12
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作者 张进华 王玉霞 +1 位作者 杨正 赵澎 《中国康复医学杂志》 CAS CSCD 北大核心 2009年第1期45-48,58,共5页
目的:探讨动态踝足矫形器(DAFO)与静态踝足矫形器(SAFO)在痉挛型脑性瘫痪(脑瘫)治疗中的应用及疗效。方法:38例具有行走能力(辅助行走或独立行走)但因腓肠肌痉挛致踝跖屈的双瘫患儿,年龄21—71个月,将其随机分为DAFO组18例及SAFO组20例... 目的:探讨动态踝足矫形器(DAFO)与静态踝足矫形器(SAFO)在痉挛型脑性瘫痪(脑瘫)治疗中的应用及疗效。方法:38例具有行走能力(辅助行走或独立行走)但因腓肠肌痉挛致踝跖屈的双瘫患儿,年龄21—71个月,将其随机分为DAFO组18例及SAFO组20例。患儿入选后均进行康复训练及穿戴DAFO或SAFO。康复训练1次/d,1h/次,5次/周,12周为1个疗程。踝足矫形器每日至少穿戴2h以上,12周为1个疗程。分别于穿戴AFO前、穿戴AFO1个月、3个月时进行以下评估:腓肠肌痉挛评分(改良Ashworth分值MAS)、踝关节活动范围(ROM)、Berg平衡功能量表(BBS)及粗大运动功能量表(GMFM)的D区及F区百分比。结果:两组患儿穿戴踝足矫形器1个月和3个月后,MAS量化评分下降,踝关节ROM、Berg平衡功能和GMFM站立及走跑跳两大功能区评分均明显提高,与各自穿戴前相比,有显著性意义(P<0.05或0.01)。穿戴踝足矫形器后组间比较,3个月评定点DAFO组踝关节ROM,Berg平衡功能评分,GMFM站立及走跑跳两大功能明显高于SAFO组(P<0.01),而DAFO组与SAFO组相应评定点的MAS量化评分比较,无显著性意义(P>0.05)。结论:DAFO既能帮助纠正足下垂,同时在步行时又提供足背屈功能,改善行走及提高平衡功能,可作为SAFO脱换成普通鞋前的一种过渡类型。 展开更多
关键词 动态踝足矫形器 静态踝足矫形器 脑性瘫痪 痉挛
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静态踝足矫形器与调谐静态踝足矫形器对脑瘫患儿异常步态及血清VEGF CK-BB水平的影响比较 被引量:3
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作者 赵乐 高峰 +2 位作者 邱志伟 余丹 孙杰 《河北医学》 CAS 2020年第9期1417-1420,共4页
目的:探讨静态踝足矫形器与调谐静态踝足矫形器对脑瘫患儿异常步态的影响。方法:选取我院2017年6月至2019年6月收治的脑瘫患儿80例,根据随机数字表采用简单随机分组法分为观察组和对照组,每组各40例。对照组配置静态踝足矫形器,观察组... 目的:探讨静态踝足矫形器与调谐静态踝足矫形器对脑瘫患儿异常步态的影响。方法:选取我院2017年6月至2019年6月收治的脑瘫患儿80例,根据随机数字表采用简单随机分组法分为观察组和对照组,每组各40例。对照组配置静态踝足矫形器,观察组配置调谐静态踝足矫形器。观察比较两组患儿运动时空间参数、肢体运动学参数、肢体动力学参数及血清血管内皮生长因子(vascular endothelial growth factor,VEGF)和肌酸激酶脑同工酶(Creatine kinase brain isoenzyme,CK-BB)水平。结果:观察组与对照组相比,患儿步频、步速均更高,膝关节活动度更高,首次触地膝关节屈曲角度更低,站立膝关节最大伸展角度、摆动期踝关节最大背屈角度更大,膝关节最大屈力矩更大,伸力矩更小,踝关节最大跖屈力矩更大,背屈力矩更小,血清VEGF、CK-BB水平均更低,差异具有统计学意义(P<0.05)。结论:脑瘫患儿佩戴调谐静态踝足矫形器比佩戴静态踝足矫形器对异常步态改善效果更好,步态更稳定,连贯,患儿血清VEGF、CK-BB水平更低,值得在临床上推广。 展开更多
关键词 脑瘫 静态踝足矫形器 调谐静态踝足矫形器 步态 血管内皮生长因子 肌酸激酶脑同工酶
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The Role of Orthotic Service in Modern Rehabilitation of Patients with Charcot-Marie-Tooth Disease
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作者 Olga V. Petryaeva Natalia A. Shnayder +2 位作者 Ivan P. Artyukhov Margarita R. Sapronova Irina O. Loginova 《Journal of Biosciences and Medicines》 2018年第7期23-34,共12页
Charcot-Marie-Tooth (CMT) disease, which encompasses several hereditary motor and sensory neuropathies, is one of the most common neuro-muscular disorders. 80% of patients having CMT disease are diagnosed with per cav... Charcot-Marie-Tooth (CMT) disease, which encompasses several hereditary motor and sensory neuropathies, is one of the most common neuro-muscular disorders. 80% of patients having CMT disease are diagnosed with per cavus deformity. Orthosis is widespread and varies widely in forms. The paper arises the necessity of habilitation at the earliest possible stage as only a few patients use it. The meta-analysis of 412 scientific papers concerning this problem demonstrates the getting better gate, balance and the stopping CMT progression which is scientifically proven. It is also shown that patients with CMT use low prevalence of orthotics, and demonstrate low compliance of patients (for various reasons), high expectations from this habilitation technique. 展开更多
关键词 CHARCOT-MARIE-TOOTH Disease (CMT) Habilitation REHABILITATION Heredi-tary Sensori-Motor NEUROPATHIES (HSMN) CONTRACTURES orthosis Demye-linating Diseases (DMD) Orthotic Management ankle-foot ORTHOSES (AFOs)
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