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題 名 | Lateral Pelvic Tilt During Ambulation in Hemiplegic Patients=偏癱病人步行時骨盆側傾之研究 |
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作 者 | 胡名霞; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 18:1 1993.03[民82.03] |
頁 次 | 頁26-40 |
分類號 | 418.92 |
關鍵詞 | 病人; 骨盆; 側傾; 偏癱; 偏癱病人; 步態; 骨盆腔; 運動分析; Hemiplegia; Ambulation; Pelvic girdle; Kinematic analysis; |
語 文 | 英文(English) |
中文摘要 | 左右不對稱性是偏癱病人步行時之主要問題之一。而根據Bobath之理 論.骨盆腔動作之控制,是下肢動作的重點。因此本實驗目的,在研究偏癱病人 步行時,骨盆側傾之左右對稱性、其與中臀肌活動之關係、以及單腳站立測驗下 之最大骨盆側傾角度與步行時之最大骨盆側傾角度之關連性。八名因腦中風引起 之偏癱病人參與本實驗。有四名左側、四名右側偏癱;二名女性、六名男性病人。 平均年齡為58.88歲。中風後至參與實驗時間間隔為半年至1:年。所有受試者皆可 不使用任何副木或輔行器完成本實驗所需之步行測驗。受試者步行時骨盆側傾之 角度、由一VHS攝影機記錄。此攝影機置於受試者正前方、與受試者骨盆高度相 當。受試者面向攝影機、於一9公尺長之步道上是5次。選取其中三次步行速度相 似之記錄,分析這三次步行記錄每一次之最中間3大步,以避免加、減速對步態 造成之影響。步行時,同時以體表肌電圖記錄中臀肌之活動情形,並以足底壓力 計記錄步態周期。此外亦以攝影機記錄單腳站立測驗中,最大骨盆側傾角度。骨 盆側傾角度均以雙足站立時之側斜度為基準(為零度),而非以水平線為基準。結 果顯示偏癱病人步行時之骨盆側傾動作左右不對稱,且相當複雜。在八名受試者 中,可歸納出四種形式:(1)患側承重時,對側骨盆過度下傾(即所謂positive Trendelenburg Sign);健側承重時,對側骨盆上揚(即pelvic hiking);(2)患側承重時,對 側骨盆腔初期持平,後過度下傾;健側承重時,對側骨盆上揚;(3)患側承重時,對 側骨盆上揚;健側承重時,對側骨盆下傾;(4)二側均上揚。其次,發現單腳站立測 驗之骨盆側傾角度與步行時之角度無顯著相關。步行時最大骨盆側傾角度健側承 重時平均為-1.11度(上揚)。患側為2.82度(下傾)。單腳站立測驗時之最大骨盆側傾 角度在健側平均為-7.55度,患側為-1.00度。最後,步行時健側承重時對側之最大 骨盆側傾角度可以用下列公式推算:步行最大骨盆側傾角度=-4.99+1.10X單腳站立 測驗最大骨盆側傾角度+0.22X中臀肌收縮時間。但患側則無此關連性。總之,本 實驗證實偏癱患者骨盆側傾現象是左右不對稱的。而且不僅有過度下傾的情形, 亦有過度上揚的現象。以攝影方法記錄步行時之骨盆側傾動作,為一臨床可用之 客觀評估法。此外,單腳站立並非評估步行時之骨盆側傾角度之可靠方法,其相 關度值得再深入研究。 (中華物療誌1993;18(1):26-40) |
英文摘要 | The purposes of this study were to: (1) describe the lateral pelvic tilt (pelvic motion in the frontal plane) during gait in subjects with hemiplegia; (2) examine the relationship of the peak amplitude of lateral pelvic tilt during ambulation and during thesingle limb stance test; and (3) examine the relationship between the timing of the gluteus medius muscle and the peak amplitude of lateral pelvic tilt. Eight ambulatoryhemiplegic subjects (4 right-and 4 left-side involvements; 2 females and 6 males) participated in this study. The average age was 58.88 years (ranging from 55 to 67 years old).The lateral pelvic tilt was monitored by a video camera positioned in front of the subjects during the single limb stance test and during ambulation. A second video camerapositioned to the side of the subject recorded the stride length. Two foot switches placedunder the heels recorded the gait cycle duration during walking trials. Surface electromyographic activity of bilateral gluteus medius muscles was monitored simultaneouslywith the kinematic data during ambulation. The results of this study revealed that thelateral pelvic tilt during ambulation for hemiplegic subjects was complex in wave formand asymmetrical between the left and right sides. The peak amplitude of lateral pelvic tilt during the single limb stance test was not related to that during ambulation inhemiplegic subjects. A multiple regression analysis showed that, on the unaffected side,the peak amplitude of lateral pelvic tilt during ambulation could be estimated by both thepeak amplitude of lateral pelvic tilt during the single limb stance test and the normalized burst duration of the gluteus medius muscle. This relationship, however, was lostin the affected side of the hemiplegic subjects. The results of this study suggested thatlateral pelvic tilt be complex in the hemiplegic subjects and it can be analyzed with theuse of a video camera in the clinical settings. (JPTA ROC 1993; 18(1): 26-40) |
本系統中英文摘要資訊取自各篇刊載內容。