中国康复理论与实践2026，Vol.32Issue(1)：30-39,10.DOI:10.3969/j.issn.1006-9771.2026.01.004
肘腕功能支具对脑卒中偏瘫患者足底压力和平衡功能的效果
Effect of elbow-wrist functional orthosis on plantar pressure and balance function in stroke patients with hemiple-gia
摘要
Abstract
Objective To explore the effect of elbow-wrist functional orthosis on plantar pressure distribution and balance function in stroke patients with hemiplegia. Methods From June,2024 to April,2025,60 patients with post-stroke hemiplegia were recruited from Huashan Hospi-tal,Fudan University,and Shanghai Hebin Rehabilitation Hospital.They were randomly divided into control group(n=30)and intervention group(n=30).The control group received routine neurological rehabilitation,while the intervention group received additional training with an elbow-wrist functional orthosis on the affected side,for eight weeks.Before and after intervention,the Modified Ashworth Scale(MAS)of the elbow joint,plan-tar pressure symmetry index(SI),plantar contact area and mean plantar pressure were recorded,and balance and mobility were assessed using the Berg Balance Scale(BBS),Timed Up&Go Test(TUGT)and 10-Meter Walk Test(10MWT). Results Two cases dropped out in the control group.After treatment,MAS grades of the elbow joint,forefoot SI,affect-ed side plantar pressure area,BBS scores,TUGT and 10MWT of both groups improved(|Z|>3.969,|t|>3.528,P<0.01),while the hindfoot SI and average pressure of the affected foot improved in the intervention group(∣t∣>4.264,P<0.001).Except for TUGT and 10MWT,the intervention group was superior to the control group(∣Z∣>2.030,∣t∣>2.096,P<0.05). Conclusion The elbow-wrist functional orthosis can enhance balance function in stroke patients with hemiplegia by re-ducing upper-limb spasticity,optimizing center-of-gravity distribution,and improving postural control.关键词
脑卒中/偏瘫/支具/足底压力/下肢运动功能Key words
stroke/hemiplegia/orthosis/plantar pressure/lower limb motor function分类
医药卫生引用本文复制引用
吴澄,章云枫,王卫宁,余克威,张艳正,沈嘉蓉,吴毅..肘腕功能支具对脑卒中偏瘫患者足底压力和平衡功能的效果[J].中国康复理论与实践,2026,32(1):30-39,10.基金项目
1.上海市"科技创新行动计划"医学创新研究专项项目(No.22Y31900202 （）
No.23Y11906300) （）
2.上海市青浦区卫健委科研课题(No.QWJ2023-62) Supported by Shanghai"Science and Technology Innovation Action Plan"Medical Innovation Research Special Project(No.22Y31900202 （No.QWJ2023-62）
No.23Y11906300),and Shanghai Qingpu District Health Commission Scientific Research Topic(No.QWJ2023-62) （No.QWJ2023-62）
