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.

一项运动学研究，研究获得踝关节及其周围动作的自我控制对改善脑瘫儿童步态的影响。

• 批准号: 60450097
• 负责人: SASAMOTO Ken
• 金额: $ 0.26万
• 依托单位: National Institute of Special Education
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for General Scientific Research (B)
• 财政年份: 1985
• 资助国家: 日本
• 起止时间: 1985 至 1986
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-60450097/
• 关键词: Action in and around ankle; Video taped action analysis system Self control of action; Gait; Cerebral palsied child; 脳性まひ児; 動作訓練

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.

本研究采用录像动作分析系统对脑瘫儿童的步行行为进行分析，以验证心理教育治疗对其步行行为的影响。本研究的目的是从运动动作训练的角度，客观地阐明提高踝关节内及周围动作的效果，验证踝内及周围动作的重要性和相对性。根据上述分析得出的训练方案，进行了为期7个月的18次全程运动动作训练。研究结果和认识如下：1.研究成果和认识。在第一阶段，当我们测量左腿时，受试者的脚后跟没有触到地板上，但在最后一阶段肯定可以落地。2.受试者步态的偏侧性是在第一次治疗时发现的。然而，在最后一次训练中，在步态上没有左右翼的优势。3.由于另一条摆动腿远远领先于支撑腿，向前移动得到了改善。4.就腿部动作的改善而言，踢腿的周期开始较晚，左腿的踢腿持续时间较短，膝关节角度不会减小宽度。5.脚着地后膝关节角度与除膝关节外的腿、足各关节角度无显著差异。结果指出了踢腿和双腿支撑的重要性，踢腿时脚踝内和周围的动作，落地脚上的腿动作等。