肩部矫形器在脑卒中后异常步态康复中的研究进展

脑卒中后偏瘫通常对人体运动能力和稳定性产生不利影响，患者常因肌无力、双侧肢体肌张力失衡、感觉异常、关节和姿势控制不良等出现肩关节半脱位、异常步态。肩部矫形器常用于脑卒中偏瘫的早期预防或治疗肩关节半脱位，但目前仍存在争议。为探索肩部矫形器除预防和治疗肩关节半脱位外的作用，为肩部矫形器的选择及佩戴提供理论依据，该文阐述了肩部矫形器可能改善脑卒中后异常步态的机制，分类对比不同类型肩部矫形器对脑卒中后异常步态的矫正效果。

Research progress on the application of shoulder orthosis in rehabilitation of abnormal gait post-stroke hemiplegia

Post-stroke hemiplegia usually has an adverse impact on motor ability and stability. Patients often develop shoulder subluxation and abnormal gait due to muscle weakness， bilateral limb muscle tension imbalance， sensory abnormalities and poor joint and posture control， etc. Shoulder orthosis is often used to prevent or treat shoulder subluxation in the early stage of stroke hemiplegia， but it is still controversial. To explore the role of shoulder orthosis beyond the prevention and treatment of shoulder subluxation， and to provide theoretical basis for the selection and wearing of shoulder orthosis，the mechanism underlying the role of shoulder orthosis in improving abnormal gait post-stroke hemiplegia was elaborated， and the effects of different types of shoulder orthosis on the rehabilitation of abnormal gait post-stroke were compared.