The Effects of Lower Extremity Elastic Strap Binding Technique on Gait in Stroke Patients

Objective To determine the effects of lower extremity elastic strap binding technique on gait spatiotemporal parameters and the joint angles on the lower extremity throughout the entire gait cycle in stroke patients. Methods 29 stroke patients were invited as the study participants. The patient sat and bent his or her hip and knee, took an elastic strap with a width of 5cm, placed the middle of the strap on the bottom of the affected foot, and crossed it in front of the ankle joint. Then, the patient was asked to stand up, the strap was wrapped around the back of the shank, then around the back of the knee joint, and wound up along the thigh of the affected side. It was crossed in front of the thigh and continued to be wrapped around the back of the waist to be tied and fixed. A paired sample t-test was used to analyze the effects of the technique on gait spatiotemporal parameters and joint angles in stroke patients. Results The patients’ step length decreased (P=0.024), and step width increased (P=0.008) during the gait cycle after the strapping. In the gait cycle between 0% to 2%, 7% to 77%, and 95% to 100%, the hip flexion angle on the affected side was significantly larger after the strapping (P研究目的：明确下肢弹性绑带捆绑技术对脑卒中患者整个步态周期内的步态时空参数及下肢关节角度的影响。研究方法：招募29名脑卒中患者作为研究受试者。受试者取坐位，屈髋屈膝，取宽度为5cm的弹性绑带，将绑带中部置于患侧足底，于踝关节前方交叉。随后嘱受试者站立，将绑带绕至小腿后方，再环绕膝关节后方，沿患侧大腿向上缠绕，于大腿前方交叉后继续绕至腰背部后方进行打结固定。采用配对样本t检验分析该绑带技术对脑卒中患者步态时空参数及关节角度的影响。研究结果：使用绑带后，受试者步态周期内步长缩短（P=0.024），步宽增大（P=0.008）；在步态周期0%~2%、7%~77%及95%~100%阶段，患侧髋屈曲角度在绑带使用后显著增大（P