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.

本研究采用录像动作分析系统对脑瘫患儿的动态动作进行分析，证明心理教育治疗对动态动作的影响。本研究旨在从运动动作训练的角度，客观地阐明运动时改善踝关节内外动作的效果，验证踝关节内外动作的重要性和相关性。基于上述分析得出的训练方案，进行了为期7个月的18期运动动作训练。结果和认识如下：1。在第一阶段，当我们测量左腿时，受试者的脚后跟没有碰到地板，但在最后阶段，他们的脚后跟肯定能着地。2. 在第一阶段发现受试者的步态偏侧。然而，在最后一次训练中，在步态上没有左右优势。3. 向前运动得到了改进，因为另一条摆动腿远远在支撑腿的前面。4. 在腿部动作的改进方面，踢腿时间开始较晚，左腿踢腿时间缩短，膝盖角度没有减小宽度。5. 脚着地后膝盖的角度与腿和脚的各个关节的角度没有明显的不同，除了膝盖。结果指出了踢腿的重要性，以及双腿的支撑，踢腿时踝关节内和周围的动作，腿在落地脚的动作等。

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.