| 邓思宇,胡 楠,卢 茜,郄淑燕,刘 畅,毕 胜.牵伸训练改善脑卒中踝关节痉挛的随机对照研究[J].中国康复医学杂志,2015,(12):1228~1233 |
| 牵伸训练改善脑卒中踝关节痉挛的随机对照研究 点此下载全文 |
| 邓思宇 胡 楠 卢 茜 郄淑燕 刘 畅 毕 胜 |
| 解放军医学院，北京市,100853 |
| 基金项目： |
| DOI： |
| 摘要点击次数: 1651 |
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| 摘要： |
| 摘要
目的： 观察踝关节牵伸训练对脑卒中患者下肢功能的疗效并讨论其机制。
方法：25例脑卒中患者随机分为12例跟腱牵伸组（试验组）和13例直腿抬高组（对照组），两组均采用多关节下肢康复机器人系统LR2进行为期2周训练，共12次，每次45min。训练前后采用等速测试系统进行实验室评定踝关节被动峰力矩、踝关节主动峰力矩、踝关节主动、被动活动范围（passive range of motion, PROM）、力矩-角速度斜率（SLOPE）；临床评定改良Ashworth量表（modified Ashworth scale, MAS）、临床痉挛指数（clinical spasticity index, CSI）。
结果： 训练前两组患者的一般资料、实验室及临床各项评定结果无显著性差异（P＞0.05）。训练2周后，两组间踝关节被动峰力矩在角速度10°/s、60°/s、120°/s、180°/s差异有显著性意义（P＜0.05），240°/s时无显著性差异（P＞0.05）；踝关节主动峰力矩在角速度60°/s两组间差异有显著性意义（P＜0.05），120°/s、180°/s无显著性差异（P＞0.05），SLOPE训练后两组间有显著性差异（P＜0.05）；试验组AROM、PROM、MAS、CSI改善情况明显优于对照组，差异有显著性意义（P＜0.05）。
结论： 踝关节牵伸训练有效降低脑卒中患者痉挛，改善关节活动度，提高肌肉力量，是一种较为有效的治疗手段。 |
| 关键词：牵伸训练 痉挛 脑卒中 踝关节 关节活动度 肌力 |
| Research on the effects of ankle stretch training on spasticity in patients with stroke：A randomized clinical trial Download Fulltext |
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| Dept. of Rehabilitation Medicine, Chinese PLA Medical School,100853 |
| Fund Project: |
| Abstract: |
| Abstract
Objective: To observe the effects of ankle stretch training on lower limb function in stroke patients and to explore its mechanism.
Method: Twenty-five patients with stroke were randomly divided into two groups: 12 in ankle stretching group (experimental group) and 13 in straight leg raising group (control group). Both groups were trained by the leg rehabilitation robot（LR2） for 2 weeks, 12 sessions in total, 45 min/session. Before and after training, the spasticity of the ankle joint was assessed by isokinetic testing system.; Active peak torque (PT) of ankle joint muscle was also tested. Besides the active and passive range of motion (AROM, PROM) of the ankle, torque- angular velocity slope(SLOPE), modified Ashworth scale (MAS), clinical spasticity index (CSI) were tested also.
Result: Before training, there was no significant difference between two groups in all the measured parameters. After 2 weeks training, the spasticity measured under different angular velocity showed a significant difference between the two groups except 240 °/s. There was significant difference between the two groups in muscle strength at 60°/s , but not at 120°/s and 180°/s. Also, there was significant difference between the two groups in the SLOPE. The AROM, PROM, MAS value and CSI in experimental group were significantly better than control group(P＜0.05).
Conclusion: Ankle stretch training could effectively reduce spasticity in patients with stroke. Ankle joint mobility and its muscle strength might be improved also. |
| Keywords:stretch training spasticity stroke ankle joint range of motion muscle strength |
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