摘要
目的:定量分析脑卒中偏瘫患者非瘫痪侧下肢与正常人下肢本体感觉之间的差异。方法:选用意大利Tecnobody公司Pro-Kin254P型本体感觉定量测试系统,采集28例脑卒中偏瘫患者非瘫痪侧下肢和30例正常人双下肢的本体感觉测试参数,主要观察指标为平均轨迹误差(ATE)、测试执行时间(TTE)和稳定指数(SI)。结果:①脑卒中偏瘫患者患侧下肢平均轨迹误差、测试执行时间及稳定指数与正常组相应侧下肢比较,差异具有显著性(P<0.01);②右半球损伤患者同侧下肢本体感觉差于左半球损伤者,除测试执行时间指标外差异具有显著性意义(P<0.05);③正常组左下肢本体感觉参数优于右下肢,但差异无显著性意义(P>0.05);④平均轨迹误差与测试执行时间呈中度负相关(r=-0.550,P=0.002)。结论:脑卒中偏瘫患者不仅患侧下肢存在功能障碍,其非瘫痪侧下肢与正常人相比也存在差异,且右半球损伤患者下肢本体感觉差于左半球损伤者,因此脑卒中后健侧下肢功能状况不容忽视。
Objective：To make quantitative comparision on proprioception between the unaffected lower limbs of hemiplegte patients after stroke and lower limbs of normal person. Method： The lower limbs of 28 hemiplegic patients after stroke and 30 normal person were measured by using a computerized proprioceptive foot-board（Pro-Kin system,Tecnbody,Italy）.Main outcome measures included average trace error（ATE）、test＇t time execution（TTE） and stability index（SI）. Result： ①The affected lower limbs of hemiplegic patients after stroke and lower limbs of normal person were significant different on the three parameters ATE、TTE and SI（P〈0.01）;②Ipsilesional proprioception functional deficits in patients with right-hemisphere damage were worse than that with left-hemisphere damage（P〈0.05）,except TTE; ③Normal person had no significant difference of ATE、TTE and SI between the two lower limbs（P〉0.05）;④Moderate negative correlation was found between ATE and TTE（r=-0.550,P=0.002）. Conclusion： In hemiplegic patients, not only the affected lower limbs had proprioception deficits, but also there were some differences between the unaffected lower limbs of hemiplegic, patients and the lower limbs of normal person.The proprioceptive function deficits in right-hemisphere damage patients were more severe than that in left-hemisphere damage patients.It is very important to actively treat function deficits of the unaffected lower limbs after stroke.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2013年第1期28-31,共4页
Chinese Journal of Rehabilitation Medicine
基金
安徽省科技厅年度重点科研项目(11070403064)
