《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

旋转训练对脊髓损伤患者痉挛的疗效①

伍明，龙耀斌，曹锡忠，梁天佳，周开斌   

  1. 广西医科大学第一附属医院康复医学科，广西南宁市530021。
  • 出版日期:2016-05-25 发布日期:2016-07-04

Effect of Rotational Training on Spasm after Spinal Cord Injury

WU Ming, LONG Yao-bin, CAO Xi-zhong, LIANG Tian-jia, ZHOU Kai-bin   

  1. Department of Rehabilitation, The First Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi 530021, China
  • Published:2016-05-25 Online:2016-07-04

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摘要： 目的探讨旋转训练对脊髓损伤后患者肌痉挛的影响。方法2010 年7 月~2015 年7 月，38 例脊髓损伤后痉挛的住院患者随机分为治疗组(n=19)和对照组(n=19)。两组均给予常规肢体康复训练，治疗组在肢体康复训练后加旋转训练。治疗前和治疗后6 周，采用改良Ashworth 量表、内收肌角、直腿抬高角、改良Barthel 指数进行评定。结果治疗后，两组改良Ashworth 量表评分(Z>-2.286, P<0.05)、内收肌角(t>5.6121, P<0.001)、直腿抬高角(t>5.1677, P<0.001)、改良Barthel 指数评分(t>-6.7428, P<0.001)较治疗前改善，治疗组优于对照组(P<0.05)。结论旋转训练配合康复训练能减轻脊髓损伤后患者痉挛，改善关节活动度和提高日常生活活动能力。

关键词: 脊髓损伤, 痉挛, 旋转训练, 日常生活活动能力

Abstract: Objective To investigate the effect of rotational training on spasm after spinal cord injury. Methods From July, 2010 to July, 2015, 38 patients with spinal cord injury were randomly divided into treatment group (n=19) and control group (n=19). Both groups accepted routine physical therapy, and the treatment group accetpted rotation training in addition. They were assessed with modified Ashworth Scale, adductor angle, hip flexion, and modified Barthel Index before and 6 weeks after treatment. Results Both groups improved in modified Ashworth Scale (Z>-2.286, P<0.05), adductor angle (t>5.6121, P<0.001), angle of hip flexion (t>5.1677, P<0.001) and modified Barthel Index (t>-6.7428, P<0.001) after treatment, and improved more in the treatment group than in the control group (P<0.05). Conclusion Rotation training may relieve spasm after spinal cord injury, and improve the range of motion and activities of daily living.

Key words: spinal cord injury, spasm, rotary training, activities of daily living