CAJ | 학술논문

目的：探讨有氧训练对大面积烧伤患者运动功能的影响。方法：将47例大面积烧伤患者随机分为有氧组（n＝24）和对照组（n＝23）。对照组仅给予常规康复训练，有氧组在此基础上采用运动平板进行有氧训练。训练前后，分别采用等速肌力测试仪测量优势下肢股四头肌肌力，6min步行试验测试患者运动耐力，改良Barthel指数评估患者日常生活活动能力。结果：训练12周后，有氧组股四头肌伸膝峰力矩（PT）、总做功量（TW）和平均功率（AP）均较训练前和对照组明显提高（P＜0．01），MBI较训练前和对照组明显提高（P＜0．05）。2组6min步行距离均较治疗前明显提高（P＜0．01，0．05），有氧组更高于对照组（P＜0．01）。结论：有氧训练可有效改善大面积烧伤患者运动功能及日常生活活动能力，值得临床推广。
목적：탐토유양훈련대대면적소상환자운동공능적영향。방법：장47례대면적소상환자수궤분위유양조（n＝24）화대조조（n＝23）。대조조부급여상규강복훈련，유양조재차기출상채용운동평판진행유양훈련。훈련전후，분별채용등속기력측시의측량우세하지고사두기기력，6min보행시험측시환자운동내력，개량Barthel지수평고환자일상생활활동능력。결과：훈련12주후，유양조고사두기신슬봉력구（PT）、총주공량（TW）화평균공솔（AP）균교훈련전화대조조명현제고（P＜0．01），MBI교훈련전화대조조명현제고（P＜0．05）。2조6min보행거리균교치료전명현제고（P＜0．01，0．05），유양조경고우대조조（P＜0．01）。결론：유양훈련가유효개선대면적소상환자운동공능급일상생활활동능력，치득림상추엄。
Objective:To explore the effects of aerobic exercise on the motor function and activity of daily life in patients with large surface burns .Methods:Forty‐seven cases of large surface burns were randomly divided into aer‐obic exercise group (n=24) and control group (n=23) .The aerobic exercise group received routine rehabilitation treatment and aerobic exercise by treadmill exercise for 12 weeks .The control group was given routine rehabilitation treatment alone .Before and 12 weeks after rehabilitation treatment ,the strength of the dominant leg quadriceps was measured by the isokinetic test ,an angular velocity of 150°/s by Biodex ,exercise endurance by 6 min walking test , and the activity of daily life by modified Barthel index ,respectively .Results:After rehabilitation treatment for 12 weeks ,the peak torque of quadriceps ,total work and average power in the aerobic exercise group had significant im‐provement as compared with those before and in the control group (P<0 .01) .Modified Barthel index scores were significantly increased after treatment in the aerobic exercise group as compared with those before treatment and in the control group (P<0 .05) .The distance of 6 min walking test in the two groups after treatment was longer than that before the treatment (P< 0 .01 ,0 .05) ,more significantly in the aerobic exercise group than in the control group (P<0 .05) .Conclusion:Aerobic exercise can effectively improve the motor function and activities of daily life in patients with large surface burns .