CAJ | 학술논문

目的：：观察等速肌力训练对偏瘫患者下肢功能恢复的影响。方法：将我院收治的40例偏瘫患者随机分为观察组和对照组各20例,对照组采用常规康复训练,包括运动治疗(神经促进疗法、平衡功能训练、等张肌力训练、桥式运动、重心转移训练、步态训练、协调与运动控制训练等)、作业治疗、传统康复疗法、物理因子治疗。观察组在常规康复训练的基础上增加偏瘫下肢屈、伸膝肌群等速肌力训练,测试及训练模式为普通等速向心/向心模式。治疗前后分别采用等速肌力测试训练仪的峰力矩值(PT)、Fugl-Meyer 运动功能评分、功能独立性评分、Berg 平衡功能评分及改良 Ashworth 肌痉挛分级(MAS)对患者下肢肌痉挛及功能情况进行分析。结果：治疗10周后,2组患者膝关节伸屈膝肌 PT、Fugl-Meyer 评分、Berg 评分及 FIM 评分均较治疗前明显提高,且观察组更高于对照组(P <0.05)。治疗前后 2组患者肌痉挛 MAS 评分组间及组内比较差异均无统计学意义。结论：等速肌力训练对偏瘫患者下肢功能恢复有明显改善作用。
목적：：관찰등속기력훈련대편탄환자하지공능회복적영향。방법：장아원수치적40례편탄환자수궤분위관찰조화대조조각20례,대조조채용상규강복훈련,포괄운동치료(신경촉진요법、평형공능훈련、등장기력훈련、교식운동、중심전이훈련、보태훈련、협조여운동공제훈련등)、작업치료、전통강복요법、물리인자치료。관찰조재상규강복훈련적기출상증가편탄하지굴、신슬기군등속기력훈련,측시급훈련모식위보통등속향심/향심모식。치료전후분별채용등속기력측시훈련의적봉력구치(PT)、Fugl-Meyer 운동공능평분、공능독립성평분、Berg 평형공능평분급개량 Ashworth 기경련분급(MAS)대환자하지기경련급공능정황진행분석。결과：치료10주후,2조환자슬관절신굴슬기 PT、Fugl-Meyer 평분、Berg 평분급 FIM 평분균교치료전명현제고,차관찰조경고우대조조(P <0.05)。치료전후 2조환자기경련 MAS 평분조간급조내비교차이균무통계학의의。결론：등속기력훈련대편탄환자하지공능회복유명현개선작용。
Objective:To investigate the effect of isokinetic exercise on lower limb function recovery of hemiplegia patients.Methods:Forty hemiplegic patients in XiangYa BoAi Rehabilitation Hospital were randomly divided into experimental group and control group.All the cases accepted routine rehabilitation exercise,including therapeutic exercise (neuromuscular facilitation technique,balance exercise,isotonic exercise,bridge motion,transfer exercise, coordination and motor control training,etc),occupational therapy,traditional Chinese medicine rehabilitation ther-apy and physiatrics.The experimental group additionally accepted isokinetic exercise for knee flexion & extension muscles of the hemiplegic side.After therapy,their lower limb function was measured by isokinetic peak torque, Fugl-Meyer motor functional score,functional independence measure score,Berg balance functional score,and their muscle spasma was measured by modified Ashworth scale.Results:After therapy for 10 weeks,isokinetic peak torque of knee muscles,the scores of lower limb Fugl-Meyer motor function,Berg balance function and functional independence measure in two groups were increased significantly as compared with those pretreatment (P <0.05). All the scores in experimental group were significantly higher than in control group (P <0.05).Modified Ashworth score showed no significant difference between experimental group and control group.Conclusion:Isokinetic exercise is beneficial to the recovery of lower limb function in hemiplegic patients.