天津医药 ›› 2017, Vol. 45 ›› Issue (9): 957-960.doi: 10.11958/20170559

• 临床研究 • 上一篇    下一篇

“8”字绷带对脑卒中伴膝过伸患者步行功能的影响

朱冬燕,徐倩,王梁,韩珍真,季姗姗,曹慧,胡臻妮,黄志东△   

  1. 江苏省南通市第一人民医院
  • 收稿日期:2017-05-11 修回日期:2017-07-19 出版日期:2017-09-15 发布日期:2017-09-25
  • 通讯作者: 朱冬燕 E-mail:zhudongyan1990@163.com

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

ZHU Dong-yan, XU Qian, WANG Liang, HAN Zhen-zhen, JI Shan-shan, CAO Hui,HU Zhen-ni,HUANG Zhi-dong△   

  • Received:2017-05-11 Revised:2017-07-19 Published:2017-09-15 Online:2017-09-25
  • Contact: Zhu DongYan E-mail:zhudongyan1990@163.com

摘要: 摘要: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,观察组采用与对照组相同的常规训练方法,但在步行训练过程中使用“8”字绷带固定膝关节。两组患者均于治疗前和治疗8周后采用Holden步行功能分级、10米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米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,差异具有统计学意义(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。

关键词: 卒中, 行走困难;康复, 职业性, “8”字绷带, 膝过伸, 步行功能

Abstract: Abstract : Objective To observe the effect of the “8” word bandage on the walking ability of stroke patients with knee hyperextension. Methods Fifty cases of stroke patients with knee hyperextension were randomly divided into the observation group and the control group with 25 cases in each group. The control group were 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 elastic bandage to fix knee joint in walking training. Before and after 8 weeks of treatment, we adopted Holden walking function classification,10 meters maxium walking speed and improved Barthel index to evaluate the walking ability,maximum walking speed and the life ability of the patients. Results There were no significant differences in the scores between the two groups before treatment.The Holden walking function classification, the 10 meters maxium walking speed and the Barthel index scores in both two groups were significantly improved upon 8 weeks treatment (P<0.05), and patient’s conditions in the observation group were more significantly improved than that of the control group (P < 0.05). Conclusion Using“8”word bandage to fix knee joint can significantly improve knee hyperextension of stroke patients,so as to improve the walking ability and the ability of activities of daily living.

Key words: stroke, mobility limitation, rehabilitation, vocational, 8-word bandage, knee hyperextension, walking ability