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首页> 外文期刊>Physiotherapy theory and practice >Effects of gait training with non-paretic knee immobilization on patients with hemiplegia: Three single-case studies
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Effects of gait training with non-paretic knee immobilization on patients with hemiplegia: Three single-case studies

机译:非瘫痪膝关节训练对偏瘫患者的影响:三种单案研究

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摘要

Patients' with a hemiplegic gait and difficulties with activities of daily living may improve through intensive training of their paretic lower limbs. This study examined the possibility of improving their gait by immobilizing the non-paretic knee joint in extension and promoting weight shift toward the paretic side. Single-case ABABA studies were conducted, involving three patients with hemiplegia. The patients walked with their non-paretic knee joints immobilized in extension using a dial-lock knee orthosis during the intervention (B1 and B2) periods. Measurement items included (1) temporal and distance factors and (2) hip, knee, and ankle joint angles during gait. In all subjects, the stance phase was significantly prolonged on the paretic side during all intervention periods following the first baseline (A1) period. In Subject 1, hip extension in the stance phase improved during all intervention periods following the A1 period, and, in Subjects 2 and 3, the knee hyperextension in the stance phase, which was observed during the A1 period, was resolved during the second (A2) and third (A3) baseline periods. Gait training with non-paretic knee immobilization may promote weight shift toward the paretic side to overcome a swing limitation on the immobilized side, consequently providing an opportunity for training in weight bearing for the paretic limb and an improved, more symmetrical gait pattern.
机译:患者具有偏瘫的步态和困难,日常生活活动可能通过密集的静脉下肢进行改善。本研究检查了通过将非瘫痪膝关节固定在延伸和促进探测侧的重量转变来改善它们的步态的可能性。进行单壳的亚巴巴研究,涉及三名偏瘫患者。在干预(B1和B2)期间,患者使用拨锁膝关节矫形器在延伸中固定的非瘫痪膝关节。测量项目包括(1)步态期间的时间和距离因子和(2)臀部,膝关节和踝关节角度。在所有受试者中,在第一个基线(A1)期间的所有干预期间,静脉阶段在静脉内延迟。在受试者1中,在A1时段后的所有干预期间,在A1期间的所有干预期间改善的髋关节延伸,并且在第2和第3期间,在A1期间观察到的姿势阶段的膝关节过度伸展在第二个( A2)和第三(A3)基线时期。具有非瘫痪膝关节固定的步态训练可以促进重量转移到静脉内侧,以克服固定的方面的摆动限制,从而为垂直肢体的重量训练提供了训练的机会和改进的,更对称的步态模式。

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