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偏瘫患者下肢运动功能、平衡功能和步行速度的相关性 被引量:54

Relationship among Walking Speed, Balance and Lower Extremity Recovery of Hemiplegic Patients
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摘要 目的探讨偏瘫患者步行能力、平衡功能、下肢运动功能的相关性。方法用计算机运动分析系统算出步行速度,用BBS评定平衡功能,用Chedoke-McMaster中风评测量表评定患侧下肢运动功能等级。结果偏瘫患者的步行速度、平衡功能、患侧下肢运动功能恢复等级三者之间中度至高度正相关(r=0.610~0.788,P<0.01)。结论在偏瘫患者的康复训练中,步行训练、平衡功能的训练和患侧下肢运动功能的训练密切相关,互相促进;Berg平衡评测量表和Chedoke-McMaster中风评测量表适用于偏瘫患者的功能评定。 Objective This study was designed to investigate the relationships among walking ability, balance and lower extremity recovery after stroke. Methods Twenty five cases of hemiplegic patients resulted from cerebrovascular accidents were recruited by means of convenient sampling. Walking speed was used as a representative of total walking performance of hemiplegic patients and was calculated by computerized movement analysis system (Peak Motus Version 3.0). The balance of hemiplegic patients was evaluated by the Berg Balance Scale (BBS). The lower extremity recovery stage was assessed by the Impairment Inventory of the Chedoke-McMaster Stroke Assessment. The formula of Spearman rank correlation were used to calculated the correlation coefficients among walking speed, balance and lower limb recovery. Results Significant relationships were found among walking speed, balance and lower extremity recovery(r=0.610~0.788, P<0.001). Conclusion The relationships among walking ability, balance and lower limb functions should be considered when the rehabilitation program is designed for hemiplegic patients. The result tends to support use of the Berg Balance Scale and Chedoke-MeMaster Stroke Assessment as quantitative measures in hemiplegic patients' functions.
出处 《中华物理医学杂志》 CAS CSCD 1998年第4期199-201,共3页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 偏瘫 康复 步态 下肢运动功能 hemiplegia/rehabil gait movement extremities
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