Disclosure of Invention
The technical problem to be solved by the invention is as follows: the gait mode evaluation method for the rehabilitation period of the unilateral achilles tendon rupture patient is provided, the quantification of the movement prescription design of the unilateral achilles tendon rupture patient is realized, and the method is used for guiding the rehabilitation of the patient and achieving the curative effect of rapid rehabilitation.
In order to solve the technical problems, the invention adopts the technical scheme that: a gait pattern evaluation method for a rehabilitation period of a patient with unilateral achilles tendon rupture comprises the following steps:
obtaining healthy side step length, affected side step length, healthy side swing phase time, affected side swing phase time, healthy side stepping time, affected side ground bounce and healthy side ground bounce of a patient with unilateral achilles tendon rupture;
substituting the data into a gait mode evaluation equation of the rehabilitation stage, wherein the gait mode evaluation equation of the rehabilitation stage is as follows:
in the above formula, L
CIndicates the healthy side step length, L
IIndicates the affected side step length, T
CIndicating healthy side swing phase time, T
IThe time of the swing phase of the affected side is shown,
the time of the side-healthy stride is represented,
representing the affected side step time, F
IIndicating the ground bounce of the affected side, F
CGround bounce representing a healthy side; c
indexTo compensate for the gait value;
substituting the data to calculate a compensated gait value when C is more than or equal to 0.9indexWhen the value is less than or equal to 1.1, the rehabilitation gait mode is represented, and the other values are compensatory gait modes.
The invention has the beneficial effects that: the invention creatively designs a gait pattern evaluation method of a unilateral achilles tendon rupture patient in a rehabilitation period with the aim of eliminating compensated gait, obtains the step length of a healthy side and an affected side of the unilateral achilles tendon rupture patient, the swing phase time of the healthy side and the affected side, the step time of the healthy side and the affected side, the ground bounce force of the affected side and the ground bounce force of the healthy side according to the test of a detection instrument, substitutes the tested numerical value into the gait pattern evaluation equation in the rehabilitation period to obtain a compensated gait value, adjusts the relevant data on the right side of the equation to enable the compensated gait value to be more than or equal to 0.9 and less than or equal to 1.1 to become the rehabilitation gait pattern, and guides the rehabilitation of the patient according to the obtained data so as to accelerate the rehabilitation of the patient. The invention realizes the quantification of the movement prescription design of the patient with the unilateral achilles tendon rupture, and is used for guiding the rehabilitation of the patient and accelerating the effect of movement rehabilitation.
Detailed Description
In order to explain technical contents, achieved objects, and effects of the present invention in detail, the following description is made with reference to the accompanying drawings in combination with the embodiments.
The most key idea of the invention is to establish a gait mode evaluation method for the rehabilitation period of the patient with the unilateral achilles tendon rupture, realize the quantification of the movement prescription design of the patient with the unilateral achilles tendon rupture, guide the rehabilitation of the patient and achieve the curative effect of rapid rehabilitation.
A gait pattern evaluation method for a rehabilitation period of a patient with unilateral achilles tendon rupture comprises the following steps:
obtaining healthy side step length, affected side step length, healthy side swing phase time, affected side swing phase time, healthy side stepping time, affected side ground bounce and healthy side ground bounce of a patient with unilateral achilles tendon rupture;
substituting the data into a gait mode evaluation equation of the rehabilitation stage, wherein the gait mode evaluation equation of the rehabilitation stage is as follows:
in the above formula, L
CIndicates the healthy side step length, L
IIndicates the affected side step length, T
CIndicating healthy side swing phase time, T
IThe time of the swing phase of the affected side is shown,
the time of the side-healthy stride is represented,
representing the affected side step time, F
IIndicating the ground bounce of the affected side, F
CGround bounce representing a healthy side; c
indexTo compensate for the gait value;
substituting the data to calculate a compensated gait value when C is more than or equal to 0.9indexWhen the value is less than or equal to 1.1, the rehabilitation gait mode is represented, and the other values are compensatory gait modes.
From the above description, the beneficial effects of the present invention are: the invention creatively designs a gait pattern evaluation method of a unilateral achilles tendon rupture patient in a rehabilitation period with the aim of eliminating compensated gait, obtains the step length of a healthy side and an affected side of the unilateral achilles tendon rupture patient, the swing phase time of the healthy side and the affected side, the step time of the healthy side and the affected side, the ground bounce force of the affected side and the ground bounce force of the healthy side according to the test of a detection instrument, substitutes the tested numerical value into the gait pattern evaluation equation in the rehabilitation period to obtain a compensated gait value, adjusts the relevant data on the right side of the equation to enable the compensated gait value to be more than or equal to 0.9 and less than or equal to 1.1 to become the rehabilitation gait pattern, and guides the rehabilitation of the patient according to the obtained data so as to accelerate the rehabilitation of the patient. The invention realizes the quantification of the movement prescription design of the patient with the unilateral achilles tendon rupture, and is used for guiding the rehabilitation of the patient and accelerating the effect of movement rehabilitation.
Further, establishing the gait pattern evaluation equation in the rehabilitation period comprises the following steps:
step 1, testing the rehabilitation gait of the Achilles tendon rupture patient by adopting a plantar pressure system, and establishing a rehabilitation gait equation of the Achilles tendon rupture patient according to a test result;
the gait equation is specifically as follows:
step length and step length:
in the formula, L
C、L
IRespectively represents the step lengths of the healthy side and the affected side,
respectively indicate the stride length of the healthy side and the affected side.
Pace, stride frequency, step length, stride length:
in the formula, L
C、L
IRespectively represents the step lengths of the healthy side and the affected side,
the stride lengths of the healthy side and the affected side are respectively represented, v represents the pace speed, and f represents the step frequency.
Single support, double support and support phase time equation:
in the formula, T
C-I、T
I-CRespectively represents the first double-support time of healthy side and affected side, T
I-C、T
C-IThe second double-support time of healthy side and affected side, T
C、T
IRespectively representing the swing phase time of the healthy side and the affected side,
the stride time of the healthy side and the affected side are respectively shown.
Step 2, performing simulation analysis on various gait parameters of the rehabilitation stage gait of the patient with the broken achilles tendon based on the rehabilitation stage gait equation of the patient with the broken achilles tendon, finding out the reason of compensatory gait, and determining the boundary conditions of the gait equation:
max(FI)≤=mg (4);
in the formula, FIThe ground bounce on the affected side is shown, m is the body weight, and g is the acceleration of gravity.
Step 3, analyzing the influence of compensatory gait on the healthy side and the affected side according to a walking kinetic equation, boundary conditions and a von Yuanfu stress-growth principle, establishing an evaluation index based on the gait equation, guiding the gait mode design of a patient with unilateral achilles tendon rupture in the rehabilitation stage, and establishing a gait mode evaluation equation in the rehabilitation stage;
walking kinetics equation:
in the formula, F
IIndicating the ground bounce of the affected side, F
CThe ground bounce of the healthy side is expressed, m represents the body weight, T is the stride time, and the formula (3) shows
(side-exercising step time),
(affected side stride time) Are equal, so T represents the time of the orthokinetic stride or the time of the affected stride.
Von neumoniae stress-growth principle:
where Gr denotes growth rate, s is stress, k1,k2,k3And a, b and c are constants. When k is1,k2,k3Above zero, the curve becomes steep at points a, b, c, and when k is greater than1,k2,k3When the curve is less than zero, the curve becomes smooth at points a, b and c. Based on point a, an increase in stress may cause growth and a decrease in stress may cause ablation. Based on the b and c points, a decrease in stress will cause growth, while an increase in stress will instead cause ablation.
Establishing a gait mode evaluation equation of a rehabilitation period of a patient with unilateral achilles tendon rupture:
in the above formula, L
CIndicates the healthy side step length, L
IIndicates the affected side step length, T
CIndicates healthy lateral swing phase time (hundred divisions), T
IIndicating the affected swing phase time (hundreds of divisions),
the time of the side-healthy stride is represented,
representing the affected side step time, F
IIndicating the ground bounce of the affected side, F
CThe ground bounce force (body weight normalized) indicating a healthy side; c
indexTo compensate for the gait value;
for the patients with unilateral achilles tendon rupture, when C is more than or equal to 0.9indexThe rehabilitation gait mode is set when the value is less than or equal to 1.1, and the compensation gait mode is set when the value is other than or equal to 1.1.
According to the description, the gait equation is creatively established by testing and observing the rehabilitation gait of the patient with the unilateral achilles tendon rupture, and the boundary condition of the rehabilitation gait of the patient with the unilateral achilles tendon rupture is found out through analog simulation analysis; determining the poor treatment effect of the result that the low stress under the compensatory gait can cause the slow growth and even absorption of the affected achilles tendon according to the boundary condition and the stress-growth principle of the von Neuman Frames; the gait mode evaluation index is established, the gait mode of the unilateral achilles tendon rupture patient in the rehabilitation period is designed with the aim of eliminating compensated gait, the quantification of the movement prescription design of the unilateral achilles tendon rupture patient is realized, and the effect of movement rehabilitation is accelerated.
Further, the gait pattern design of the unilateral achilles tendon rupture patient in the rehabilitation period is guided according to the gait pattern evaluation equation in the rehabilitation period.
Examples 1 and 2 are cases of applying the gait pattern evaluation method of the invention for the rehabilitation period of patients with unilateral achilles tendon rupture and guiding the patients to recover:
example 1
Fig. 1 is a butterfly diagram of the chest compression at 8 weeks after the operation of the acute achilles tendon disruptor, and fig. 2 is a butterfly diagram of the chest compression after the 8 weeks after the operation of the patient, after the recovery phase gait pattern evaluation method of the unilateral achilles tendon disruptor of the invention is adopted and the patient is guided to recover for 4 weeks (namely 12 weeks after the operation).
Example 2
Fig. 3 is a butterfly diagram of the chest compression at 26 weeks after the operation of acute achilles tendon disruptor, and fig. 4 is a butterfly diagram of the chest compression at 8 weeks after the operation of 26 weeks after the operation of adopting the gait pattern evaluation method of the unilateral achilles tendon disruptor in the rehabilitation period and guiding the patient to recover (namely 34 weeks after the operation).
The results of example 1 and example 2 show that: whether the unilateral achilles tendon rupture patient is in the early rehabilitation stage (8 weeks after operation) or the middle rehabilitation stage (26 weeks after operation), the unilateral achilles tendon rupture patient gait pattern evaluation method in the rehabilitation stage starts to be adopted and guides the patient to recover, and the butterfly diagram of the pressure heart after the recovery period tends to be symmetrical, which shows that the designed exercise prescription is effective.
In conclusion, the gait mode evaluation method for the rehabilitation period of the unilateral achilles tendon rupture patient creatively establishes a gait equation by testing and observing the rehabilitation period gait of the unilateral achilles tendon rupture patient, and finds out the boundary condition of the rehabilitation period gait of the unilateral achilles tendon rupture patient through analog simulation analysis; determining the poor treatment effect of the result that the low stress under the compensatory gait can cause the slow growth and even absorption of the affected achilles tendon according to the boundary condition and the stress-growth principle of the von Neuman Frames; establishing a gait mode evaluation equation in the rehabilitation period, and designing the gait mode of the unilateral achilles tendon rupture patient in the rehabilitation period based on the equation and aiming at eliminating 'compensatory gait'.
The method comprises the steps of obtaining the step length of the healthy side and the affected side of a patient with unilateral achilles tendon rupture, the swing phase time of the healthy side and the affected side, the step time of the healthy side and the affected side, the ground rebound force of the affected side and the ground rebound force of the healthy side according to the test of a detection instrument, substituting the tested numerical values into the gait mode evaluation equation of the rehabilitation period of the invention to obtain a compensatory gait value, adjusting the relevant data on the right side of the equation to enable the compensatory gait value to be more than or equal to 0.9 and less than or equal to 1.1 to become a rehabilitation gait mode, and guiding the patient to recover according to the obtained data, thereby accelerating the recovery of the patient. The invention realizes the quantification of the movement prescription design of the patient with the unilateral achilles tendon rupture, and is used for guiding the rehabilitation of the patient and accelerating the effect of movement rehabilitation.
The above description is only an embodiment of the present invention, and not intended to limit the scope of the present invention, and all equivalent changes made by using the contents of the present specification and the drawings, or applied directly or indirectly to the related technical fields, are included in the scope of the present invention.