CAJ | 학술논문

目的：观察在康复训练基础上佩戴简易上肢屈肌痉挛抑制器对脑卒中后上肢屈肌痉挛并发肩关节半脱位的效果。方法80例屈肌痉挛并发肩关节半脱位的脑卒中患者，等分为治疗组和对照组。两组均接受脑卒中常规治疗及康复，治疗组在康复时佩戴简易上肢屈肌痉挛抑制器。治疗前后测量X线片肩峰至肱骨头间距(AHI)，采用改良Ashworth痉挛量表、肩关节活动度进行评定。结果治疗2个月后，治疗组AHI、改良Ashworth评分、肩关节活动度均显著优于对照组(P<0.001)。结论佩戴简易上肢屈肌痉挛抑制器进行康复训练能进一步缓解脑卒中患者屈肌痉挛，减轻肩关节半脱位，改善关节功能。
목적：관찰재강복훈련기출상패대간역상지굴기경련억제기대뇌졸중후상지굴기경련병발견관절반탈위적효과。방법80례굴기경련병발견관절반탈위적뇌졸중환자，등분위치료조화대조조。량조균접수뇌졸중상규치료급강복，치료조재강복시패대간역상지굴기경련억제기。치료전후측량X선편견봉지굉골두간거(AHI)，채용개량Ashworth경련량표、견관절활동도진행평정。결과치료2개월후，치료조AHI、개량Ashworth평분、견관절활동도균현저우우대조조(P<0.001)。결론패대간역상지굴기경련억제기진행강복훈련능진일보완해뇌졸중환자굴기경련，감경견관절반탈위，개선관절공능。
Objective To observe the effect of Arm Spasticity Inhibitor worn in rehabilitation training on patients with upper extremities spasticity and shoulder subluxation after stroke. Methods 80 stroke patients with flexor spasm in upper extremities complicated with sublux-ation of shoulder were divided into treatment group and control group equally. Both groups accepted routine medicine and rehabilitation, and the treatment group wore the Arm Spasticity Inhibitor developed ourselves during the rehabilitation training. Their acromio-humeral in-terval (AHI) was measured with the X-ray; and they were assessed with modified Ashworth Scale (MAS), range of motion of shoulder (ROM) and elbow before and 2 months after treatment. Results It improved more in the AHI, score of MAS and ROM in the treatment group than in the control group after treatment (P<0.001). Conclusion Wearing Arm Spasticity Inhibitor during rehabilitation training may release the spasticity of upper extremities and shoulder subluxation, and improve shoulder function in patients after stroke.