矫形器结合功能训练改善患者步行能力

目的探讨矫形器结合功能训练对患者步行能力的影响。方法对 3 6例步行困难患者 (腰膨大脊髓损伤 11例、脑血管意外及脑外伤 2 5例 )于不同康复训练阶段配合踝足矫形器 (AFO)进行强化训练 6周 ,分别在患者入院时、AFO训练前和AFO训练 6周后进行ASIA、FMA运动评分评定和限时的步行功能检查 (包括 6min步行评定和 10米步行时间评定 )。结果AFO训练 6周后 ,患者的步行功能评分与AFO训练前的差异具有非常显著性意义 (P <0 .0 1) ;脊髓损伤患者的ASIA运动评分与入院时的差异无显著性意义 (P >0 .0 5 ) ;脑损伤患者的运动评分与入院时的差异具有非常显著性意义 (P <0 .0 1) ,脑损伤患者的运动评分与AFO训练前的差异有显著性意义 (P <0 .0 5 )。结论AFO结合功能训练可显著改善腰膨大脊髓损伤及部分脑损伤患者的步行能力。

Improvement of patients' walking ability with orthosis and functional training

Objective To observe the influence of the orthosis combined with functional training on patients' walking ability. Methods In different rehabilitation training stages, 36 patients, 11 cases of lumbar enlargement spinal cord injury (SCI), 25 cases of cerebrovascular accident (CVA) and head injury (HI), received strengthened training with ankle-food orthoses (AFO) for 6 weeks. And then, scores of ASIA, FMA and walking function in limited time (including 6 minute walking measures and 10 meters walking time measures) were evaluated respectively at admision, before and after applying AFO for 6 weeks. Results There was a significant difference in patients' walking function scores between before and after AFO training ( P<0.01). However, SCI patients' ASIA scores have no significant changes after applying AFO for 6 weeks ( P>0.05). In additional, HI patients' walking function scores after applying AFO for 6 weeks were more different from the scores at admision ( P<0.01), and before AFO training ( P<0.05). Conclusion AFO combined with functional training can obviously recover lumbar enlargement SCI and HI patients' walking ability.