CAJ | 학술논문

目的：探讨肩关节内收等速肌力训练对乳腺癌术后淋巴水肿的影响。方法：乳腺癌术后并发上肢水肿患者68例，随机分为等速组和对照组，每组各34例。2组均给予常规康复训练，等速组在此基础上进行肩关节内收等速肌力训练。训练前后采用放射性核素淋巴扫描观测2组患侧上肢淋巴流量的变化；在腕横纹上10cm处测量2组双侧上臂周径；应用等速肌力测试系统为等速组记录等速肌力测定值。结果：治疗2个月后，2组患者上肢淋巴流量均较组内治疗前增加（P＜0．05），双侧上臂周径差值均较组内治疗前减小（P＜0．05），与对照组治疗后比较，等速组上肢淋巴流量较大（P＜0．05），双侧上臂周径差值较小（P＜0．05）。治疗后，等速组患者等速肌力测量值（峰力矩、总功率、平均功率）均较治疗前明显增加（P＜0．05）。结论：肩关节内收等速肌力训练可以增加乳腺癌术后患侧上肢淋巴回流量，有效减少淋巴水肿。
목적：탐토견관절내수등속기력훈련대유선암술후림파수종적영향。방법：유선암술후병발상지수종환자68례，수궤분위등속조화대조조，매조각34례。2조균급여상규강복훈련，등속조재차기출상진행견관절내수등속기력훈련。훈련전후채용방사성핵소림파소묘관측2조환측상지림파류량적변화；재완횡문상10cm처측량2조쌍측상비주경；응용등속기력측시계통위등속조기록등속기력측정치。결과：치료2개월후，2조환자상지림파류량균교조내치료전증가（P＜0．05），쌍측상비주경차치균교조내치료전감소（P＜0．05），여대조조치료후비교，등속조상지림파류량교대（P＜0．05），쌍측상비주경차치교소（P＜0．05）。치료후，등속조환자등속기력측량치（봉력구、총공솔、평균공솔）균교치료전명현증가（P＜0．05）。결론：견관절내수등속기력훈련가이증가유선암술후환측상지림파회류량，유효감소림파수종。
Objective:To evaluate the efficacy of isokinetic training to pectoralis major & minor for improving the lymphedema after surgery of breast cancer .Methods:Sixty‐eight patients with lymphedema of the upper limbs fol‐lowing surgery of breast cancer were randomly allocated into control group and isokinetic group .Both groups re‐ceived normal rehabilitation training ,and isokinetic group was given isokinetic training additionally .The lymphatic return and the circumference of the upper limbs were recorded before and after the training .The maximum torque (MT) ,the total work (TW) ,and the average work (AW) were recorded in the isokinetic group before and after the training .Results:Two months after treatment ,lymphatic return and circumference of the upper limbs in both two groups were improved as compared with those pretreatment (P<0 .05) ,more significantly in the isokinetic group than in the control group (P<0 .05) .After training ,average MT ,TW and AW were increased significantly in the isokinetic group as compared with those before training (P<0 .05) .Conclusion:Isokinetic training for pectoralis major & minor can increase the lymphatic return ,and alleviate the lymphedema .