本文選題：不完全脊髓損傷　切入點(diǎn)：等速肌力訓(xùn)練　出處：《中國康復(fù)醫(yī)學(xué)雜志》2017年11期 　論文類型：期刊論文

【摘要】：目的:研究在常規(guī)康復(fù)治療的基礎(chǔ)上,應(yīng)用等速肌力訓(xùn)練對(duì)腰髓不完全損傷患者進(jìn)行運(yùn)動(dòng)訓(xùn)練的意義。方法:60例腰髓不完全損傷患者,隨機(jī)分為治療組(常規(guī)康復(fù)+等速肌力訓(xùn)練)和對(duì)照組(常規(guī)康復(fù)訓(xùn)練),每組各30例。在治療前和治療3個(gè)月后對(duì)兩組患者進(jìn)行徒手肌力評(píng)定(MMT)、等速肌力測試(峰力矩,PT)、峰力矩/體重比(PT/BW)、脊髓損傷步行指數(shù)(WISCIⅡ)、6min步行測試(6MWT)、10m步行時(shí)間(10MWT)及脊髓獨(dú)立性評(píng)定(SCIMⅢ)。結(jié)果:治療3個(gè)月后:兩組患者所有下肢運(yùn)動(dòng)功能評(píng)定指標(biāo)治療后均較入選時(shí)改善(P0.01)。治療組股四頭肌峰力矩體重比(QF-PT/BW)、乆繩肌峰力矩體重比(H-PT/BW)、股四頭肌峰力矩(QF-PT)、乆繩肌峰力矩(H-PT)評(píng)分顯著優(yōu)于對(duì)照組(P0.001),股四頭肌徒手肌力分級(jí)(QF-MMT)、乆繩肌徒手肌力分級(jí)(H-MMT)差異無顯著性(P0.05)。治療3個(gè)月后:WISCIⅡ、SCIMⅢ、10MWT和6MWT評(píng)分均優(yōu)于對(duì)照組(P0.05)。結(jié)論:等速肌力訓(xùn)練結(jié)合常規(guī)康復(fù)訓(xùn)練可顯著提高腰段不完全脊髓損傷患者的下肢肌力、肌耐力、步行能力和功能獨(dú)立性。
[Abstract]:Objective: to study the significance of isokinetic muscle strength training in patients with incomplete lumbar spinal cord injury on the basis of routine rehabilitation. They were randomly divided into treatment group (conventional rehabilitation isokinetic muscle training) and control group (routine rehabilitation training, 30 cases in each group). Before treatment and 3 months after treatment, the patients in the two groups were evaluated with MMTT and isokinetic muscle strength test. Peak torque, peak torque / body weight ratio (PTR / BW), walking index of spinal cord injury (WISCI 鈪，

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