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上肢位及椅子高度对脑卒中偏瘫患者坐-站转移时下肢负重及稳定性的影响

刘孟 倪朝民 岳童 陈进 范文祥 穆景颂

中国康复Issue(6):427-429,3.
中国康复Issue(6):427-429,3.DOI:10.3870/zgkf.2014.06.009

上肢位及椅子高度对脑卒中偏瘫患者坐-站转移时下肢负重及稳定性的影响

Impact of seat height and arm position on sit-to-stand stability and loading of lower limbs in hemiplegic stroke patients

刘孟 1倪朝民 1岳童 1陈进 1范文祥 1穆景颂1

作者信息

  • 1. 安徽医科大学附属省立医院康复医学科,合肥 230000
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摘要

Abstract

Objective:To explore the effects of arm position and seat height on sit‐to‐stand (STS) lower limb load‐ing and stability in hemiplegic stroke patients .Methods:Thirty hemiplegic patients with stroke were recruited who were required to complete the STS with different arm positions (grasped arms ,GA ;and crossed arms ,CA) and seat height (high chair ,and standard chair) .The duration ,mean lower limb loading ,index of asymmetry of limb load (IOA) and sway of the center of gravity (COG) in mediolateral directions (COGX) were measured during STS in 4 cases by gait and balance function training and assessment system (model AL‐080) .The differences between them were compared .Results:At GA ,except for time required for STS ,the differences were statistically significant (P<0 .05) in the average loading of the non‐paretic foot and the paretic foot ,IOA and COGX as compared with those at CA .However ,there was no significant difference in the average loading of the non‐paretic foot and the pa‐retic foot ,and IOA between the two seat heights at any arm position ,and the significant difference was found in time required for STS and COGX (P<0 .05) .There was no significant difference in all indicators between left and right hemiplegia .Conclusion:Changing the upper limb position affects lower limb loading and postural stability dur‐ing STS in hemiplegic stroke patients .However ,seat height influences postural stability during STS in hemiplegic stroke patients .

关键词

脑卒中/坐-站转移/上肢位/椅子高度/下肢负重

Key words

stroke/sit-to-stand/arm position/seat height/lower limb loading

分类

医药卫生

引用本文复制引用

刘孟,倪朝民,岳童,陈进,范文祥,穆景颂..上肢位及椅子高度对脑卒中偏瘫患者坐-站转移时下肢负重及稳定性的影响[J].中国康复,2014,(6):427-429,3.

基金项目

安徽省科技厅年度重点科研项目 ()

中国康复

OACSTPCD

1001-2001

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