CAJ | 학술논문

目的：探讨早期被动关节运动结合良肢位摆放对偏瘫患者关节运动的影响。方法：将80例患者随机分为观察组和对照组各40例，对照组进行关节被动活动，观察组则在对照组的基础上采用良肢位摆放，随访3个月，比较2组患者踝关节及肩关节活动情况、肌力情况及所发生的并发症。结果：随访3个月时观察组踝关节活动度、肩关节内旋角度、肩关节外旋角度及肩关节上举角度均显著高于对照组(P＜0.05)，观察组肌力上肢Ⅳ级及以上和下肢Ⅳ级及以上的比例均显著高于对照组(P＜0.05)，发生肩关节半脱位、髋关节半脱位及足畸形的比例均显著低于对照组(P＜0.05)。结论：早期的被动关节运动结合良肢位摆放，可提高患肢肌力，利于偏瘫患者关节功能的恢复。
목적：탐토조기피동관절운동결합량지위파방대편탄환자관절운동적영향。방법：장80례환자수궤분위관찰조화대조조각40례，대조조진행관절피동활동，관찰조칙재대조조적기출상채용량지위파방，수방3개월，비교2조환자과관절급견관절활동정황、기력정황급소발생적병발증。결과：수방3개월시관찰조과관절활동도、견관절내선각도、견관절외선각도급견관절상거각도균현저고우대조조(P＜0.05)，관찰조기력상지Ⅳ급급이상화하지Ⅳ급급이상적비례균현저고우대조조(P＜0.05)，발생견관절반탈위、관관절반탈위급족기형적비례균현저저우대조조(P＜0.05)。결론：조기적피동관절운동결합량지위파방，가제고환지기력，리우편탄환자관절공능적회복。
To explore the influence of early passive joint movement combined with good limb position on articular movement of hemiplegic patients. Methods: Totally 80 patients with paralysis were randomly divided into the observation group and the control group with 40 cases in each. Passive movement was performed in the control group to improve the rehabilitation efficacy and on the basis of the control group, good limb position was put to the patients in the observation group. All the patients were followed up for three months, and comparisons between both groups in ankle motion, shoulder joint motion, muscular force and related complications were made. Results: During the follow-ups, compared with the control group, the range of ankle motion, the internal and external rotation of shoulder joint and the range of rising shoulder joint in the observation group significantly improved (P<0.05); the proportion of the upper limb and the lower limb muscle strength reaching Ⅳand above in the observa-tion group were markedly higher than those in the control group(P<0.05); the incidence of shoulder joint subluxa-tion, hip sub-dislocation and foot deformity dramatically went down in the observation group (P<0.05). Conclusion: The combination therapy of early passive joint movement and good limb position can effectively improve the muscle force and promote the functional recovery of patients with paralysis.