持续被动运动对脑卒中偏瘫患者股四头肌张力及下肢运动功能的疗效观察  

Effect observation of continuous passive motion on quadriceps tension and lower limb movement function in patients with stroke hemiplegia

作　　者：张衍辉[1] 柴非[1] 王胜灵[1] 

机构地区：[1]江西中医药大学附属医院康复科,南昌330006

出　　处：《中国当代医药》2014年第31期34-36,共3页China Modern Medicine

摘　　要：目的观察持续被动运动(CPM)对偏瘫患者股四头肌张力及下肢运动功能的影响。方法选取存在下肢痉挛的偏瘫患者50例,将其随机分为治疗组和对照组,每组各25例。对照组采用常规康复治疗,治疗组在对照组基础上结合下肢CPM治疗,比较两组治疗后4、6周的效果。结果两组治疗后6周的股四头肌张力评分均有所下降,与治疗前比较,差异有统计学意义(P<0.01),治疗组治疗后6周的股四头肌张力评分显著低于对照组(P<0.05)。两组治疗后4、6周的FMA下肢运动功能评分均显著提高,与治疗前比较,差异有统计学意义(P<0.05)。治疗组治疗后4、6周的FMA评分高于对照组,但差异无统计学意义(P>0.05)。结论 CPM能降低偏瘫患者股四头肌张力以及改善患者的下肢运动功能。Objective To observe the influence of continuous passive motion （CPM） on quadriceps tension and the low-er limb movement function in patients with stroke hemiplegia. Methods 50 patients with hemiplegia having lower limb spastic were selected,and they were randomly divided into the treatment group （n=25） and control group （n=25）,the control group was given the routine rehabilitation treatment,the treatment group was given CPM on the basis of the con-trol group,and then the curative effect after 4,6 weeks treatment were compared. Results The quadriceps tension score after 6 weeks treatment in the two groups decreased compared with before treatment,and there was a statistical differ-ence （P〈0.01）,the quadriceps tension score after 6 weeks treatment in the treatment group was obviously lower than that in the control group （P〈0.05）.The FMA lower limb motor function score in the two groups after 4,6 weeks treatment in-creased compared with before treatment,and there was a statistical difference （P〈0.05）, the FMA lower limb motor func-tion score after 4,6 weeks treatment in the treatment group were higher than those in the control group,but there was no statistical difference （P〉0.05）. Conclusion CPM can reduce the quadriceps tension and improve the function of lower limb in patients with hemiplegia.

关 键 词：脑卒中 持续被动运动 痉挛 股四头肌张力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]