A kinesiological study on the effect which acquisition of self-control of the action in and around ankle has on to improve the cerebral palsied child's gait.

本研究采用录像行动分析系统对脑性瘫痪儿童的步行行动进行分析，以验证心理教育治疗对步行行动的影响。本研究的目的是从运动动作损伤的角度，客观地阐明踝关节内及踝关节周围动作的改善效果，并验证踝关节内及踝关节周围动作的重要性和相关性。在7个月的时间内进行了18次基于上述分析的训练计划的运动动作训练。主要研究结果和认识如下：1.在第一次测量左腿时，受试者的脚跟没有碰到地板，但在最后一次测量时，他们肯定能着地。2.在第1次治疗时发现受试者步态偏侧。然而，在最后一次会议上，没有右和左的步态优势。3.由于另一条摆动腿远远领先于支撑腿，因此向前运动得到了改善。4.在腿部动作的改进方面，踢腿开始时间晚，左腿踢腿持续时间短，膝关节角度没有减小宽度。5.双脚着地后膝关节角度与除膝关节外的小腿和足部各关节角度无显著差异。结果指出了打腿的重要性以及双腿的支撑、打腿时踝关节内和踝关节周围的动作、着地时的腿动作等。

This study has been carried out to analyze the cerebral palsied child's ambulatory action with video taped action analysis system and to prove the effect of psychoeducational treatment on ambulatory action. The aims of this study were to clarify objectively effect of improvement of the action in and around ankle at ambulation and to verify the importance and the relativity of the action in and around ankle from the standpoint of the motor action trauning. The 18 sessional motor action trainings founded on the training program from the above mentioned analysis were conducted over a period of 7 months. The results and knowledges are as follows.1. At the 1st session when we measured the left leg, the subject didn'd touch his heels on the floor, but could surely land them at the last session. 2. The laterality of the subject's gait was found at the 1st session. However at the last session, there was no right and left dominance on the gait. 3. A forward movement was improved, owing to the other swing leg far ahead of the supporting leg. 4. As regards of the improvements of legs action, the period of the kick starts lately, the duration of it on the left leg is shortened, and the angle of the knee doesn't reduce the width. 5. The angle of the knee after landing the feet was not remarkably different from the angles of every joints of the leg and foot except of the knee. The results pointed out the importance of kick as well as support of both legs, action in and around of ankle at the kick, legs action at the landing feet, and so forth.