CAJ | 학술논문

目的：探讨早期的偏瘫患者在踩车训练时，主动控制下肢与被动捆绑下肢2种方式对患者下肢运动功能和注意力的影响。方法：30例患者随机分为2组，为试验组和对照组。在常规的康复训练基础上给予踩车训练，对照组使用绳带在膝上将双腿捆绑，防止出现髋外展外旋，试验组不采用捆绑固定，而由家属在旁给与提示患者自主控制髋部。每次训练20分钟，每天2次，疗程为3周。分别在治疗前后对患者的髋部内旋 AROM，下肢的运动功能情况（ Fugl－Meyer运动功能评分下肢部分）以及注意力进行评价。结果：试验组在注意力和下肢运动功能的改善上优于对照组（P＜0．05）。结论：偏瘫病人在使用踩车时主动控制髋部能够提高下肢运动功能，提高注意力。
목적：탐토조기적편탄환자재채차훈련시，주동공제하지여피동곤방하지2충방식대환자하지운동공능화주의력적영향。방법：30례환자수궤분위2조，위시험조화대조조。재상규적강복훈련기출상급여채차훈련，대조조사용승대재슬상장쌍퇴곤방，방지출현관외전외선，시험조불채용곤방고정，이유가속재방급여제시환자자주공제관부。매차훈련20분종，매천2차，료정위3주。분별재치료전후대환자적관부내선 AROM，하지적운동공능정황（ Fugl－Meyer운동공능평분하지부분）이급주의력진행평개。결과：시험조재주의력화하지운동공능적개선상우우대조조（P＜0．05）。결론：편탄병인재사용채차시주동공제관부능구제고하지운동공능，제고주의력。
Objective:To investigate the effect of the active control of the lower limb and the passive bundle on the lower limb move -ment function and attention of the patients in the early stage of the patients in the early stage of the training .Methods:30 patients were randomly divided into two groups , the experimental group and the control group .On the basis of conventional rehabilitation training given on the cycling training , while the control group used the rope in the legs knee would be bundled and prevent the emergence of external ro -tation and abduction of the hip , experimental group did not use fixed bundling , and by the family beside giving hints the autonomic control of patients with hip.20 minutes each time, 2 times a day, 3 weeks.In the treatment of patients before and after the treatment of patients with hip internal rotation AROM , the lower extremity motor function ( Fugl-Meyer motor function score of the lower part of the lower limbs) and attention were evaluated.Results:the experimental group was superior to the control group (P <0.05) in the improvement of the function of the movement of the lower limbs .Conclusion:the active control of the hip could improve the lower limb motor function and improve the attention of the patients with hemiplegia .