踝关节CPM对脑卒中患者下肢运动功能康复的疗效观察  

The treatment of continuous passive motion on lower motor function in patients with stroke

作　　者：冀磊磊 吴建贤[1] 

机构地区：[1]安徽医科大学第二附属医院康复医学科,合肥230601

出　　处：《安徽医科大学学报》2016年第6期873-876,共4页Acta Universitatis Medicinalis Anhui

基　　金：安徽省高校省级自然科学研究项目(编号:KJ2010A194;2013tszy011);安徽省卫生厅中医药科学研究项目(编号:2012zy57)

摘　　要：目的观察踝关节持续被动运动(CPM)改善脑卒中患者下肢运动功能的效果,并探讨其临床意义。方法研究60例脑卒中患者,随机分为对照组和治疗组。对照组给予常规康复治疗,治疗组给予常规康复治疗及踝关节CPM治疗。分别于治疗前和治疗3个月后对患者行下肢肌痉挛评估、下肢Fugl-Meyer运动功能评定(FMA)和10 m步行时间评估。结果治疗3个月后,两组患者下肢肌痉挛及10 m步行时间较治疗前降低(P<0.05);两组患者下肢FMA较治疗前提高(P<0.05),且治疗组均优于对照组(P<0.05)。结论踝关节持续被动运动能缓解脑卒中患者下肢肌痉挛,增强踝关节周围肌肉的协调性,提高患者的平衡功能,改善患者的下肢运动功能,提高步行能力。Objective To observe the treatment of continuous passive motion（ CPM） on lower motor function in patients with stroke. Methods 60 patients were evenly randomized into control group and treatment group. The control group received conventional rehabilitation treatment,while the treatment group received conventional rehabilitation and CPM therapy. They were assessed with modified Ashworth scale（ MAS）,Fugl-Meyer assessment（ FMA）（ lower limb,hip,knee and ankle） and 10-meter walking time. Results After treatment,the scores of MAS,FMA and 10-meter walking time were both improved when compared with those before treatment（ P 〈0. 05）,and between the two groups,the scores of MAS,FMA and 10-meter walking time were much better in the treatment group with significant difference（ P 〈0. 05）. Conclusion CPM can alleviate muscle spasms,and enhance the muscle group coordination on foot. Furthermore,CPM can contribute to the balance and lower limb motor function,and strengthen gait of patients with stroke.

关 键 词：持续被动运动 脑卒中 下肢运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]