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韩秀兰,刘开锋,许 轶,王楚怀.膝关节本体感觉训练对偏瘫患者平衡功能的影响[J].中国康复医学杂志,2015,(8):790~794
膝关节本体感觉训练对偏瘫患者平衡功能的影响    点此下载全文
韩秀兰  刘开锋  许 轶  王楚怀
中山大学附属第一医院东院康复医学科,广州,510700
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摘要:
      摘要 目的:探讨对脑卒中偏瘫患者施行膝关节本体感觉训练后其平衡功能恢复的影响。 方法:符合要求的20例受试者依年龄、性别、功能障碍程度、偏瘫侧等条件以一一配对的方式分成观察组和对照组,对照组接受常规康复治疗,观察组在常规康复治疗的基础上加强膝关节本体感觉训练。两组患者在治疗前和治疗后分别采用角度重建法测量膝关节位置觉和使用Berg平衡量表(BBS)测量平衡功能。 结果:观察组患侧膝关节位置重现的平均偏差变小(P<0.01),屈膝30°、45°的测试中,试验后膝关节位置偏差与训练前测量值对比有显著性意义(P<0.05)。试验后,观察组与对照组患侧膝关节位置重现平均偏差比较有显著性意义(P<0.01)。试验后的BBS评分值,两组对比有显著性意义(P<0.05)。 结论:膝关节本体感觉训练对脑卒中患者的平衡功能恢复有积极的作用,对脑卒中偏瘫患者进行膝关节本体感觉训练很有必要的。
关键词:脑卒中  膝关节本体感觉  膝关节角度重建实验  平衡功能
The impact of knee joint proprioception training on the balance of patients with hemiplegia    Download Fulltext
Department of Rehabilitation Medicine, East Division of The First Affiliation Hospital of Sun Yat-sen University, Guangzhou, 510700
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Abstract:
      Abstract Objective:To explore the impact of knee joint proprioception training on the balance function recovery of stroke patients with hemiplegia. Method:Twenty subjects were divided into experimental group and control group paired with age/gender/disability. The control group received conventional rehabilitation, Experimental group received knee proprioception training on the basis of conventional rehabilitation. The two groups of patients were assessed with angle measurement of knee joint and Berg balance scale(BBS) before and after treatment. Result:After experiment, the deviation of effected knee joint position was less than that before expertment significantly(P<0.05), and the difference of deviation between the two groups was statistically significant(P<0.01).The scores of BBS between the two groups was statistically significant(P<0.05). Conclusion:Knee proprioception training have positive effect to restore the balance function of stroke patients.
Keywords:stroke  knee proprioception  knee angle reconstruction experiment  balance function
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