CAJ | 학술논문

目的探讨综合康复对深度烧伤后膝关节僵硬及腘窝挛缩患者日常生活活动能力(ADL)及膝关节功能的影响.方法35例下肢深度烧伤患者(包括腘窝周围皮肤烧伤)应用运动治疗、水疗、作业治疗(包括压力疗法)、理疗等方法进行综合康复.治疗前后进行功能独立性测量(FIM)、关节活动度及肌力评测.结果治疗后,患者FIM评分明显提高(P<0.01),膝关节活动度及肌力明显提高(P<0.01).结论综合康复能明显提高深度烧伤后膝关节僵硬及腘窝挛缩患者的ADL、膝关节活动度及肌力.
목적탐토종합강복대심도소상후슬관절강경급객와련축환자일상생활활동능력(ADL)급슬관절공능적영향.방법35례하지심도소상환자(포괄객와주위피부소상)응용운동치료、수료、작업치료(포괄압력요법)、리료등방법진행종합강복.치료전후진행공능독립성측량(FIM)、관절활동도급기력평측.결과치료후,환자FIM평분명현제고(P<0.01),슬관절활동도급기력명현제고(P<0.01).결론종합강복능명현제고심도소상후슬관절강경급객와련축환자적ADL、슬관절활동도급기력.
Objective To explore the effect of comprehensive rehabilitation on patients with knee ankylosis and contracture of popliteal fossa after severe burn. Methods 35 patients with severe burn on lower limb (containing the around skin of popliteal fossa) accepted exer-cise therapy, hydrotherapy, occupation therapy (including pressure therapy), electrotherapy, etc. They were assessed with Functional Inde-pendence Measure (FIM), range of motion and muscle strength of knee before and after treatment. Results The scores of FIM, range of mo-tion and muscle strength of knee improved after treatment (P<0.01). Conclusion Comprehensive rehabilitation can improve activities of dai-ly living and function of knee after severe burn.