本文選題：輪椅振動訓(xùn)練　切入點(diǎn)：下肢運(yùn)動功能障礙者　出處：《上海體育學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：隨著人類醫(yī)學(xué)的發(fā)展,重大疾病所帶來的死亡率逐年降低,但部分因疾病所帶來的病發(fā)癥卻無法避免。因病導(dǎo)致下肢運(yùn)動障礙者逐漸增多,由于身體原因,下肢運(yùn)動功能障礙者無法自由活動,大多依靠輪椅代步,長時間坐于輪椅導(dǎo)致下肢肌力逐漸退化,甚至無法長時間行走,嚴(yán)重影響患者生活質(zhì)量,為家庭及社會帶來沉重負(fù)擔(dān)。改善平衡功能是幫助他們完成日常生活基本動作的重要保障,也是患者進(jìn)行日�；顒拥幕A(chǔ)。振動訓(xùn)練作為一種新興的康復(fù)訓(xùn)練方式,對于快速反復(fù)刺激肌肉,改善神經(jīng)傳導(dǎo)速率,增強(qiáng)肌肉活性,增加肌肉力量,提高平衡功能具有顯著性的效果。本文將采用實(shí)驗(yàn)法,使用BODY GREEN輪椅全身垂直振動訓(xùn)練儀進(jìn)行輪椅振動訓(xùn)練,探討輪椅振動訓(xùn)練對下肢運(yùn)動功能障礙者的平衡功能影響。本文旨在探尋更為有效、安全、便捷的康復(fù)訓(xùn)練方法,為改善下肢運(yùn)動功能障礙者平衡功能提供理論依據(jù),具有一定的理論意義和研究價值。研究方法:依據(jù)本研究所要求的納入排除標(biāo)準(zhǔn),于2015年9月~2015年12月,通過上海市楊浦區(qū)殘障人聯(lián)合會,招募20名下肢運(yùn)動功能障礙的中年男性作為實(shí)驗(yàn)對象,進(jìn)行為期8周的輪椅振動訓(xùn)練干預(yù)。在輪椅振動訓(xùn)練前后,每一位被試均使用CON-TREX等速測試儀、WIN-POD靜態(tài)平衡儀檢測,同時進(jìn)TUG、10MWT和6MWT測試,所有測試均由相同工作人員完成,訓(xùn)練結(jié)束后進(jìn)行自身前后對照,對題數(shù)據(jù)進(jìn)行研究分析。研究結(jié)果:通過8周的輪椅振動訓(xùn)練,被試的膝、踝關(guān)節(jié)屈、伸肌群均有大幅度提高,膝關(guān)節(jié)伸肌峰力矩在60°/s和180°/s時具有顯著性提高(P0.05),膝關(guān)節(jié)屈伸肌峰力矩比值也具有明顯差異(P0.05)。踝關(guān)節(jié)與膝關(guān)節(jié)較為一致,踝關(guān)節(jié)伸肌群顯著性略高于踝關(guān)節(jié)屈肌群,踝關(guān)節(jié)伸肌峰力矩有差異具有顯著性(P0.05),而踝關(guān)節(jié)在屈伸肌峰力矩比值均無差異具有顯著性。靜態(tài)平衡在睜眼、閉眼雙足站立結(jié)果均具有良好的變化,閉眼雙足站立指標(biāo)部分有差異具有顯著性(P0.05);在TUGT和6MWT的測試結(jié)果為差異具有非常顯著性(P0.01),10MWT測試結(jié)果差異也存在顯著性(P0.05)。研究結(jié)論:8周的輪椅振動訓(xùn)練能夠提高被試膝、踝關(guān)節(jié)肌力,說明輪椅振動訓(xùn)練可以作為下肢運(yùn)動功能障礙者一個安全可行訓(xùn)練手段。由于輪椅振動訓(xùn)練對各個關(guān)節(jié)肌群作用效果并不是一致的,所以還有待進(jìn)一步研究。輪椅振動訓(xùn)練可以顯著性提高閉眼雙足站立的測試結(jié)果,表明輪椅振動訓(xùn)練能夠提高本體感覺以及前庭功能,并有效改善下肢運(yùn)動功能障礙者身體控制能力。動態(tài)平衡較實(shí)驗(yàn)前后也有較大改善,由此可知,輪椅振動訓(xùn)練對中年下肢運(yùn)動功能障礙者平衡功能有積極影響。因此我們認(rèn)為輪椅振動訓(xùn)練可用于下肢運(yùn)動功能障礙者的常規(guī)康復(fù)訓(xùn)練。
[Abstract]:With the development of human medicine, the mortality rate caused by major diseases is decreasing year by year, but some diseases caused by diseases can not be avoided. People with lower extremity motor dysfunction can not move freely, most of them rely on wheelchairs to walk. Sitting in wheelchairs for a long time leads to the deterioration of lower limb muscle strength and even the inability to walk for a long time, which seriously affects the quality of life of patients. The improvement of balance function is an important guarantee to help them complete the basic actions of daily life, and is also the basis for patients to carry out daily activities. Vibration training is a new rehabilitation training method. It has significant effect on fast and repeated stimulation of muscle, improving nerve conduction rate, enhancing muscle activity, increasing muscle strength and improving balance function. The purpose of this paper is to explore the effect of wheelchair vibration training on the balance function of patients with lower extremity motor dysfunction by using BODY GREEN wheelchair whole body vertical vibration training instrument to explore a more effective, safe and convenient rehabilitation training method. In order to provide theoretical basis for improving the balance function of patients with lower extremity motor dysfunction, it has certain theoretical significance and research value. Research methods: according to the exclusion criteria required by this study, from September 2015 to December 2015, Through Shanghai Yangpu District disabled people's Federation, 20 middle-aged men with lower extremity motor dysfunction were recruited as experimental subjects for 8 weeks of wheelchair vibration training intervention before and after wheelchair vibration training. Each of the subjects was tested by CON-TREX isokinetic tester with WIN-POD static balance instrument, and was tested by TUGX 10MWT and 6MWT simultaneously. All the tests were completed by the same staff. After the training, they were compared with each other before and after the training. Results: after 8 weeks of wheelchair vibration training, the knee, ankle flexion and extensor muscle group of the subjects were significantly improved. At 60 擄/ s and 180 擄/ s, the peak torque of extensor muscle of knee joint increased significantly (P 0.05), and the ratio of peak torque of flexion and extensor muscle of knee joint was also significantly different (P 0.05). The ankle joint and knee joint were consistent, and the extensor muscle group of ankle joint was slightly higher than flexor muscle group of ankle joint. There was significant difference in peak torque of extensor muscle of ankle joint (P 0.05), but there was no significant difference in peak torque ratio of ankle joint in flexion and extensor muscle. There was significant difference in standing index of eyes closed eyes (P0.05T) and significant difference in the test results of TUGT and 6MWT (P0.01 / 10MWT). Ankle muscle strength, indicating that wheelchair vibration training can be used as a safe and feasible training method for lower limb motor dysfunction. So it needs further research. Wheelchair vibration training can significantly improve the test results of closed eyes bipedal standing, which shows that wheelchair vibration training can improve the proprioceptive and vestibular function. And effectively improve the lower extremity motor dysfunction of the body control ability. The dynamic balance is also greatly improved compared with before and after the experiment. Wheelchair vibration training has a positive effect on the balance function of middle-aged patients with motor dysfunction of lower extremities, so we think that wheelchair vibration training can be used for routine rehabilitation training of patients with lower extremity dyskinesia.
【學(xué)位授予單位】：上海體育學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：G804.2

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