脑卒中后偏瘫患者足下垂和内翻的康复治疗摘要 脑卒中是世界上致死率和致残率最高的疾病之一，脑卒中后偏瘫则是脑卒中后患者最常出现的功效障碍。大多数脑卒中后偏瘫患者肢体远端功效的恢复较差，常遗留有足下垂和内翻，严重影响患者的步态，并易引发下肢损伤，造成摔倒。现在临床上对脑卒中后偏瘫患者的足下垂和内翻有多个康复治疗办法，涉及运动训练、踝足矫形器治疗、低频电刺激治疗、A 型肉毒毒素注射治疗、肌内效贴贴扎治疗和外科手术治疗。本文就脑卒中后偏瘫患者足下垂和内翻的康复治疗作一概要介绍。ABSTRACT Stroke is one of the diseases with the highest morbidity and mortality in the world and hemiplegia is the most common impairment after stroke. The recovery of the distant part of the extremity in most patients is poor and most of the survivors have drop and equinovarus foot which can significantly affect the gait of the patients and can lead to lower limb injuries and even result in the fall. Now ， there exist several protocols for the treatment of drop and equinovarus foot ， including exercise training ， ankle foot orthosis ， low frequency electrical stimulation， injection of botulinum toxin type A， kinesio taping and surgery. In this paper， we briefly introduce the rehabilitation treatment of patients with drop and equinovarus foot.KEY WORDS stroke； drop and equinovarus foot； rehabilitation therapy腦卒中是世界上致死率和致残率最高的疾病之一[1]，而脑卒中后偏瘫是脑卒中后患者最常出现的功效障碍。脑卒中后偏瘫患者虽下肢功效的恢复较上肢好，但下肢远端功效的恢复常较差，致使其虽可在辅助下或独立步行，但常遗留有足下垂和内翻[2]。这样，在摆动相时，足下垂会致患足出现廓清障碍，由此影响步态和步行效率；在支撑相末期，内翻将使足前外侧缘触地，从而易扭伤踝关节甚至造成摔倒。因此，应关注、重视对脑卒中后偏瘫患者足下垂和内翻的康复治疗。脑卒中后偏瘫患者足下垂和内翻的康复治疗目的是提高患者的步行能力和步行速度，使患者能更有效地完毕步行活动[3]，现在临床上的惯用办法涉及运动训练[4]以...
