脑卒中偏瘫步态的生物力学特征及康复研究进展
Biomechanical Characteristics and Rehabilitation Research Progress of Hemiplegic Gait Following Stroke
摘要: 脑卒中后偏瘫步态严重影响患者的独立移动能力、日常生活活动能力及社会参与度。由于上运动神经元受损引起的肌力减退、肌肉痉挛及异常协同运动模式，偏瘫患者的步态在时空、运动学和动力学参数上表现出极度的不对称性与低效性。准确量化这些生物力学特征是制定精准康复策略的前提。在康复干预方面，除了传统的物理治疗与下肢机器人技术外，针对近端腰骨盆复合体的体外冲击波(ESWT)靶向干预，以及虚拟现实(VR)和脑机接口(BCI)等前沿神经调控技术，正逐渐成为重塑偏瘫步态的新焦点。
Abstract: Hemiplegic gait after stroke severely impairs patients’ independent mobility, activities of daily living, and social participation. Due to muscle weakness, muscle spasticity, and abnormal synergistic movement patterns caused by upper motor neuron lesions, the gait of hemiplegic patients exhibits profound asymmetry and inefficiency across spatiotemporal, kinematic, and kinetic parameters. The accurate quantification of these biomechanical characteristics is a prerequisite for formulating precise rehabilitation strategies. Regarding rehabilitation interventions, in addition to traditional physical therapy and lower limb robotic technologies, targeted interventions using Extracorporeal Shock Wave Therapy (ESWT) on the proximal lumbopelvic complex, as well as cutting-edge neuromodulation technologies such as Virtual Reality (VR) and Brain-Computer Interfaces (BCI), are gradually emerging as new focal points for reshaping hemiplegic gait.
文章引用：陈忆林, 王振宇. 脑卒中偏瘫步态的生物力学特征及康复研究进展[J]. 亚洲急诊医学病例研究, 2026, 14(2): 274-281. https://doi.org/10.12677/acrem.2026.142034

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