CAJ | 학술논문

目的探讨神经训导康复技术对偏瘫膝反张的康复效果,并探讨其作用机制.方法对60例病程6个月以上、经其他康复方法治疗不能进一步改善功能的脑卒中偏瘫伴膝反张患者,采用神经训导技术进行康复治疗.对治疗前后膝关节活动范围(ROM)、运动程序信号、Fugl-Meyer下肢运动功能评分和患肢负重时间等进行评定和比较.结果治疗1个疗程后,患者膝关节ROM、下肢Fugl-Meyer评分、患肢负重时间、股四头肌表面肌电信号、股四头肌与腘绳肌肌电信号差与治疗前比较差异均有统计学意义[(21.6±6.3)°比(3.6±2.3)°;(24±6)分比(15±7)分;(4.02±1.54)s比(0.22±0.13)s;(119±45)μV比(36±12)μV;(76±42)μV比(22±18)μV,P＜0.01],治疗后腘绳肌与股四头肌肌电信号比值明显降低(1.4∶1比1∶4.6,P＜0.01).结论神经训导康复技术是改善偏瘫患者膝反张的有效康复方法.
목적 탐토신경훈도강복기술대편탄슬반장적강복효과,병탐토기작용궤제.방법 대60례병정6개월이상、경기타강복방법 치료불능진일보개선공능적뇌졸중편탄반슬반장환자,채용신경훈도기술진행강복치료.대치료전후슬관절활동범위(ROM)、운동정서신호、Fugl-Meyer하지운동공능평분화환지부중시간등진행평정화비교.결과 치료1개료정후,환자슬관절ROM、하지Fugl-Meyer평분、환지부중시간、고사두기표면기전신호、고사두기여객승기기전신호차여치료전비교차이균유통계학의의[(21.6±6.3)°비(3.6±2.3)°;(24±6)분비(15±7)분;(4.02±1.54)s비(0.22±0.13)s;(119±45)μV비(36±12)μV;(76±42)μV비(22±18)μV,P＜0.01],치료후객승기여고사두기기전신호비치명현강저(1.4∶1비1∶4.6,P＜0.01).결론 신경훈도강복기술시개선편탄환자슬반장적유효강복방법.
Objective To investigate the rehabilitating effect and mechanism of the neurological training of genu recurvatum after hemiparalysis. Methods The neurological training was used to rehabilitate sixty long-term stroke patients with hemiplegia and genu recurvatum. The functional evaluation of range of motion (ROM) of the knee, Fugl-Meyer of the lower leg, the time of weight loading, the intensity and its proportion of the motor program signal of musculus quadriceps fexoris and hamstrings were oserved before and after the treatment. Results After one course of treatment, the differences of all functional evaluation data, including knee ROM, Fugl-Meyer score of the lower limb, weight bearing time, electromyogram (EMG) of the quadriceps, and the EMG difference between the quadriceps and the hamstring muscles were all significantly improved. The ratio of hamstring EMG to quadriceps rehabilitation technique is an effective method of improving the knee extension ability in h.emiplegic patient after stroke.