本文選題：臀肌攣縮癥 + 生物力學(xué)��； 參考：《蚌埠醫(yī)學(xué)院》2015年碩士論文

【摘要】：目的：采用等速肌力測試技術(shù)研究臀肌攣縮癥患者髖周肌群肌力變化,進一步分析臀肌攣縮癥患者并發(fā)癥的發(fā)病機制。方法：2013年6月～2014年7月,選取16例就診上海市第一康復(fù)醫(yī)院的女性C1型臀肌攣縮癥患者作為實驗組,同期選取健康女性自愿者16例作為對照組,進行前瞻性研究。應(yīng)用Contrex等速測試系統(tǒng)在向心60。/S的角速度下分別測定兩組受試者髖關(guān)節(jié)屈伸、旋轉(zhuǎn)、展收3個功能軸肌群肌力的峰力矩、相對峰力矩、屈伸肌群峰力矩比值,分別采用獨立樣本t檢驗比較這些指標(biāo)與正常人的差異。結(jié)果：與正常人相比,臀肌攣縮癥患者髖關(guān)節(jié)屈曲、外展、外旋肌群峰力矩(68.31±12.60、65.20±12.20、0.22±0.04)大于正常人髖關(guān)節(jié)屈曲、外展、外旋肌群峰力矩(64.59±16.17、60.17±12.34、0.20±0.04),但其伸肌肌群峰力矩明顯小于正常人,差異有統(tǒng)計學(xué)意義(P0.05)。此外,患者臀肌攣縮癥患者屈伸肌群峰力矩比(1.23±0.35)明顯大于正常人(0.96±0.28),差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論：臀肌攣縮癥患者髖周肌力失衡,其屈曲、外展、外旋肌群肌肉力量大于正常人,但其伸肌肌力小于正常人。
[Abstract]:Objective: to study the changes of muscle strength of perihip muscles in patients with gluteal muscle contracture by isokinetic muscle strength test, and to further analyze the pathogenesis of complications in patients with gluteal muscle contracture. Methods: from June 2013 to July 2014, 16 female patients with type C1 gluteal muscle contracture were selected as experimental group and 16 healthy female volunteers as control group. Contrex isokinetic testing system was used to measure the peak torque, relative peak moment and the ratio of peak torque of flexion and extensor muscles of hip joint in two groups at the angular velocity of 60 / S, respectively. T-test was used to compare the difference between these indexes and normal subjects. Results: compared with normal subjects, the torque of hip joint flexion, abduction and extrochanter muscle group in gluteal muscle contracture patients (68.31 鹵12.60,65.20 鹵12.20 鹵0.22 鹵0.04) was higher than that in normal subjects (64.59 鹵16.1760.17 鹵12.340.20 鹵0.04), but the peak torque of extensor muscle group was significantly lower than that of normal subjects. The difference was statistically significant (P0.05). In addition, the peak torque ratio of flexion and extensor muscle in patients with gluteus contracture was significantly higher than that in normal controls (1.23 鹵0.35), the difference was statistically significant (P0.05). Conclusion: in gluteal muscle contracture patients, the muscle strength of the group of flexion, abduction and extrochanter is larger than that of the normal group, but the muscle strength of extensor muscle is smaller than that of the normal group.
【學(xué)位授予單位】：蚌埠醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R685

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