目的 观察一种新型足托板对脑卒中患者足下垂的康复效果。方法 选取脑卒中住院患者76例,随机分为足托板组和对照组,每组各38例。足托板组在康复治疗前、后使用新型足托板,每天间断使用3次,总穿戴支具时间每天不少于8 h;对照组足下垫方枕,均使肢体保持功能位(踝关节处于90°)。两组均接受同样的常规药物治疗及康复锻炼治疗,并于治疗前及治疗后测评患者足下垂、内翻角度。结果 治疗1个月后,两组患者足下垂、足内翻角度均小于治疗前,差异有统计学意义(P＜0.01)。足托板组与对照组比较,不论是足下垂角度(24.5°±4.2°vs 28.4°±5.1°),还是足内翻角度(19.4°±2.0°vs 21.2°±1.5°),均改善明显,差异有统计学意义(P＜0.01)。结论 新型足托板能明显改善脑卒中患者偏瘫所致的足下垂,提高生活能力,且携带和使用方便,值得临床推广应用。

Objective To study the effects of a new type of foot-support plate in the post-stroke patients with foot drop. Methods 76 hospitalized post-stroke patients with foot-drop were randomly divided into foot-support plate group(38 patients)and control group (38 patients). The foot-support plate group intermittently used the new foot-support plates 3 times a day, and the wearing time was not less than 8 hours every day before and after rehabilitation treatment. The control group were treated with square pillows under foot,maintained in function position (ankle at 90 °) . The two groups of patients all received the same routine drug and rehabilitation exercise. The angle of foot-drop and varus in the two groups were measured before and after treatment. Results After 1 month of treatment, in two groups of patients with foot-drop, the varus angle was less than before treatment, with statistically significant difference (P<0.01). In the foot-support plate group, compared with the control group, both foot drop angle (24.5 ° ± 4.2 ° vs 28.4 ° ± 5.1 °), and varus angle (19.4 ° ± 2.0 ° vs 21.2 ° ± 1.5 °), were improved significantly, with statistically significant difference (P<0.01). Conclusions The new type of foot-support plate can significantly improve foot-drop and life skills in stroke patients with hemiplegia, and is easy to carry and use, worthy of clinical application.