曾艳,唐洁,林碧映.帕金森病患者足底压力分布特点和步态特点及
针对性康复训练的方案[J].神经损伤功能重建,2018,13(6):292-295 |
帕金森病患者足底压力分布特点和步态特点及
针对性康复训练的方案 |
Characteristics of Plantar Pressure Distribution and Gait in Patients with Parkinson's Diseaseand Therapeutic Effect of Targeted Rehabilitation Training |
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DOI: |
中文关键词: 帕金森病 足底压力 步态 针对性康复训练 |
英文关键词: Parkinson’s disease plantar pressure gait targeted rehabilitation training |
基金项目: |
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中文摘要: |
目的:探讨帕金森病(PD)患者的足底压力分布特点和步态特点及针对性康复训练的治疗效果。方
法:原发性PD患者50例纳入PD组,健康中老年人50例纳入对照组。采用Gaitview足底压力测量仪检测2
组的静态和动态足底压力。结果:静态足底压力测定中,PD 组左、右足足底 5 区(第 5 跖骨)压力分别为
(40.41±22.46)kPa 和(30.42±13.14)kPa,明显高于对照组的(21.60±10.39)kPa 和(20.79±9.10)kPa(均 P<
0.001)。2组行走时足底各区域的压力差异均无统计学意义(P>0.05);PD组的左、右足足跟着地时间分别
为(0.84±2.05)s和(1.64±3.17)s,均明显短于对照组的(4.72±2.96)s和(6.33±6.27)s(均P<0.001)。结论:足
底压力测定可分析PD患者步态障碍的特点和程度,针对性康复训练需强调后跟先落地 |
英文摘要: |
To investigate the characteristics of plantar pressure distribution and gait in patients with
Parkinson's disease (PD) and the therapeutic effect of targeted rehabilitation training. Methods: Fifty patients
with primary PD were included in this study as the PD group, and 50 healthy middle-aged and elderly subjects
were selected as the control group. Static and dynamic plantar pressure of subjects in both groups was measured
using the Gaitview system. Results: During static assessments, the left and right foot Zone 5 (the fifth
metatarsal) plantar pressure was (40.41 ± 22.46) kPa and (30.42 ± 13.14) kPa respectively in the PD group,
significantly higher than the (21.60 ± 10.39) kPa and (20.79 ± 9.10) kPa in the control group (both P<0.001).
During dynamic assessments, the two groups showed no significant difference in plantar pressure in all zones of
the foot (P>0.05). The left and right foot heel-strike duration of the PD group was (0.84±2.05) s and (1.64±3.17)
respectively, both being significantly shorter than the (4.72±2.96) s and (6.33±6.27) s of the control group (both
P<0.001). Conclusion: Plantar pressure information is essential for the analysis of the characteristics and extent
of gait disorders in patients with PD. Targeted rehabilitation training should emphasize heel-first landing. |
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