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題 名 | 中風患者站立穩定度與行走能力之相關性=The Relation between Standing Stability and Walking Ability in Post-Stroke Patients |
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作 者 | 陳瓊玲; 楊國德; 劉秀之; | 書刊名 | 職能治療學會雜誌 |
卷 期 | 20 2002.11[民91.11] |
頁 次 | 頁107-116 |
分類號 | 415.922 |
關鍵詞 | 中風患者; 姿勢; 行走能力; Stroke; Posture; Walking; |
語 文 | 中文(Chinese) |
中文摘要 | 站立姿勢不穩定及行走障礙是中風患者主要的臨床問題。文獻中有一些站立穩定度與行走表現之相關性的研究,但因研究對象、站立穩定度測試變項及行走表現測量之不同而結果互異;且針對中風患者的研究仍相當缺乏。本研究之目的在以量化資料檢驗中風患者站立穩定度及行走能力各變項間相關性。共二十二位門診之中風患者參與本研究,其中男性16位,女性6位, 平均年齡為56.1歲,發病至研究期間之中位數為13個月。以足底壓步態分析儀 (Computer Dyno Graphy) 測量靜態、動態站立穩定度及行走時各步態週期之時間。以皮爾森積差相關 (Pearson product-moment correlation) 分析各變項間之相關。結果顯示站立穩定度測量中,重心轉移至患側後之患腳載重與靜態、站立時患腳載重 (r= .62,p < .01)及左右重心轉移之最大平衡距離(r= .72,p< .01)有高度的相關;左右與前後重心轉移之最大平衡距離間亦有高度的相關 (r = .63,p < .01)。站立穩定度與行走能力變項中,僅左右重心轉移之最大平衡距離與行走速度有中度的相關 (r = .48,p < .05),其餘皆無顯著相關。行走能力變項中,僅行走速度與腳內協調有中度的相關 (r = -.59,P < .01)。本研究結果指出靜態穩定度與動態穩定度各變項問並非皆相關,顯 示平衡能力具有不同的層面。因此,臨床上對中風患者之平衡訓練應包含靜態與動態訓練。此外,由於左右重心轉移與行走速度呈現中度的相關,建議進一步的研究可探討左右重心轉移之平衡訓練對行走能力的效果。 |
英文摘要 | Postural instability and walking disability are common problems among patients with hemiplegia due to a cerebrovascular accident (CVA). In the literature, there are a few studies investigated the relationship between standing balance and walking performance. Various types of subjects and postural stability measures as well as different walking parameters have been used in those studies. Thus, these factors may have contributed to the varying results reported. In addition, few studies have focused on the performance of stroke patients. This study quantitatively examines the relationship of standing stability measures to walking ability in post-stroke patients. Twenty-two CVA patients participated in this study (160-male, 6-female), with a mean age of 56.1± 9.6years. The median interval between onset and investigation was 13 months. The Computer Dyno Graphy was used for measuring the ground reaction force under the feet while standing and walking. Patents were tested randomly in three conditions that included quiet standing, weight shifting and walking. Pearson product-moment correlation was used to determine the correlations among all the variables. The results showed that in standing stability measures, weight bearing through the affected leg after weight shifting to the affected side was highly correlated with the weight distribution through the affected leg (r = .62, p< .01) and lateral weight shifting (r = .72, p< .01). In addition, lateral weight shifting was highly correlated with anterior-posterior weight shifting (r = .63, p< .01). Regarding postural stability and walking variables, only lateral weight shifting was significantly correlated with walking velocity (r = .48, p< .05). As to walking ability, only walking velocity was significantly correlated with intra-limb coordination (r = .59,p< .01). These results indicated that the variables among static and dynamic stability are not all related. It is suggested that balance consists of various dimensions; therefore, balance training for stroke patients should include both static and dynamic stability training. In addition, it was evident that lateral weight shifting was significantly correlated with walking velocity. The effects of lateral weight shifting training on walking ability of patients with CVA warrant further investigation. |
本系統中英文摘要資訊取自各篇刊載內容。