CAJ | 학술논문

目的：研究不同康复起点的膝关节功能障碍患者在集体康复中的相互影响。方法：从2010年1月～2013年1月选择非运动员膝关节功能障碍患者20例，所有患者每周进行5天康复训练。上下午各1次，每次40分钟；上午进行40分钟的1对1传统康复治疗，下午进行40分钟的1对多的集体康复治疗，以康复治疗师指导，患者主动参与为主。训练2个月后，根据膝关节被动活动角度分为2个实验组进行分析，60°及60°以下为A组（12人），60°以上为B组（8人），进行心理和功能指标变化值测定。结果：（1）2组各指标变化值对比，在主/被动活动度的提高上，2组无统计学意义（P＞0．05）；在HAMD评分下降上，2组有统计学意义（P＜0．01）；在Lysholm评分提高上，2组有统计学意义（P＜0．05）；（2）治疗前2组HAMD、Lysholm指标对比，2组有统计学意义（P＜0．01）。结论：在集体康复中，康复水平起点较高的患者对较低的患者的影响要高于后者对前者的影响，但二者在治疗过程中，相互之间都起到了促进作用。
목적：연구불동강복기점적슬관절공능장애환자재집체강복중적상호영향。방법：종2010년1월～2013년1월선택비운동원슬관절공능장애환자20례，소유환자매주진행5천강복훈련。상하오각1차，매차40분종；상오진행40분종적1대1전통강복치료，하오진행40분종적1대다적집체강복치료，이강복치료사지도，환자주동삼여위주。훈련2개월후，근거슬관절피동활동각도분위2개실험조진행분석，60°급60°이하위A조（12인），60°이상위B조（8인），진행심리화공능지표변화치측정。결과：（1）2조각지표변화치대비，재주/피동활동도적제고상，2조무통계학의의（P＞0．05）；재HAMD평분하강상，2조유통계학의의（P＜0．01）；재Lysholm평분제고상，2조유통계학의의（P＜0．05）；（2）치료전2조HAMD、Lysholm지표대비，2조유통계학의의（P＜0．01）。결론：재집체강복중，강복수평기점교고적환자대교저적환자적영향요고우후자대전자적영향，단이자재치료과정중，상호지간도기도료촉진작용。
Objective:To study the effect of each other among different severity patients in knee joint dysfunction in rehabilitation com -munity.Methods:From 2010 January to 2013 January,to choice 20 non-athlete patients on knee joint dysfunction patients ,who had reha-bilitation training in 5 days a week,respectively in the morning and afternoon ,40min each time.In the morning,patients were treated on tra-dition rehabilitation by one-to-one;in the afternoon,patients were treated on rehabilitation community by one -to-many,mainly based on guidance of rehabilitation therapist and patient participation .After 2 months,according to the range of motion (ROM) in knee,patients were Abstract Objective:To study the effect of each other among different severity patients in knee joint dysfunction in rehabilitation com -munity.Methods:From 2010 January to 2013 January,to choice 20 non-athlete patients on knee joint dysfunction patients ,who had reha-bilitation training in 5 days a week,respectively in the morning and afternoon ,40min each time.In the morning,patients were treated on tra-dition rehabilitation by one-to-one;in the afternoon,patients were treated on rehabilitation community by one -to-many,mainly based on guidance of rehabilitation therapist and patient participation .After 2 months,according to the range of motion (ROM) in knee,patients were randomly divided into the group A(ROM≤60°,12 cases) and group B(ROM>60°,8 cases) to assess psychological and function index .Re-sults:Comparison of the changes of each index value ,in the active /passive ROM enhancement ,two groups had no statistical significance ( P>0.05);the HAMD score decreased,two groups had statistical significance (P<0.01); the Lysholm score increase,the two groups had statistical significance (P<0.05);before treatment,the HAMD,Lysholm index contrast,two groups had statistical significance (P<0.01). Conclusion:In rehabilitation community ,the effects of patients with lower severity on patients with higher severity are better than the effects of the latter on the former ,but in the course of treatment ,each other have played a promoting role .