CAJ | 학술논문

目的：探讨MOTOmed运动训练系统对颈脊髓损伤（ CSCI ）上肢瘫痪患者上肢肌力的治疗作用。方法选择CSCI上肢瘫痪患者205例，随机分为MOTOmed训练组（观察组）99例和常规康复组（对照组）106例。对照组常规进行针刺、理疗、运动疗法，观察组在常规康复训练的基础上加MOTOmed坐位训练系统。干预前后对两组患者进行上肢功能评估、肌张力评估、日常生活能力评分（QIF），比较康复效果。结果训练4个疗程后观察组患者左、右侧肌力评分分别为[（10．98±2．01），（10．96±2．18）]分；康复训练8个疗程后，左侧肌力为（11．97±1．94）分，右侧肌力为（12．15±1．94）分，与对照组比较差异均有统计学意义（ t值分别为2．238，2．106，2．643，2．608；P＜0．05）；康复训练前，对照组和观察组患者肌张力比较差异无统计学意义（P＞0．05）；康复训练后，对照组和康复组肌张力得分比较差异均有统计学意义（P＜0．01）；QIF总分（46．25±2．115）分，优于对照组，差异有统计学意义（t ＝1．963，P＜0．01）。结论 MOTOmed训练后四肢瘫患者上肢肌力评分增加、肌张力增高，增强了肢体肌群的力量，提高了生活质量。
목적：탐토MOTOmed운동훈련계통대경척수손상（ CSCI ）상지탄탄환자상지기력적치료작용。방법선택CSCI상지탄탄환자205례，수궤분위MOTOmed훈련조（관찰조）99례화상규강복조（대조조）106례。대조조상규진행침자、리료、운동요법，관찰조재상규강복훈련적기출상가MOTOmed좌위훈련계통。간예전후대량조환자진행상지공능평고、기장력평고、일상생활능력평분（QIF），비교강복효과。결과훈련4개료정후관찰조환자좌、우측기력평분분별위[（10．98±2．01），（10．96±2．18）]분；강복훈련8개료정후，좌측기력위（11．97±1．94）분，우측기력위（12．15±1．94）분，여대조조비교차이균유통계학의의（ t치분별위2．238，2．106，2．643，2．608；P＜0．05）；강복훈련전，대조조화관찰조환자기장력비교차이무통계학의의（P＞0．05）；강복훈련후，대조조화강복조기장력득분비교차이균유통계학의의（P＜0．01）；QIF총분（46．25±2．115）분，우우대조조，차이유통계학의의（t ＝1．963，P＜0．01）。결론 MOTOmed훈련후사지탄환자상지기력평분증가、기장력증고，증강료지체기군적역량，제고료생활질량。
Objective To discuss the curative effect of MOTOmed training system on the muscle force of upper limbs in patients with CSCI paraplegia .Methods 205 patients with CSCI paraplegia were randomly divided into the observation group (n =99) and the control group (n =106).The control group used conventional treatment of acupuncture , physiotherapy and exercise , while the observation group received MOTOmed seat training system in addition .Functional assessment , muscle force assessment and QIF were conducted and compared between two groups before and after intervention .Results After 4 courses of treatment, the score of left and right muscle force was (10.98 ±2.01)and(10.96 ±2.18)in the observation group.After 8 courses of treatment, the score of left and right muscle force was (11.97 ±1.94)and(12.15 ± 1.94).The scores were significantly different from those in the control group (t=2.238,2.106,2.643,2.608, respectively;P<0.05).Before recovery training, there was no statistically significant difference between two groups (P>0.05).But after training, the difference was statistically significant (P<0.01).The total score of QIF was (46.25 ±2.115) in the observation group, better than that in the control group, and the difference was statistically significant (t=1.963,P<0.01).Conclusions MOTOmed training system can increase the muscle force, muscle hypertonia and muscle strength of patients with CSCI paraplegia , so as to improve their quality of life.