文章摘要
车世钦,于敏.PNF技术在桡神经损伤修复术后功能恢复的应用[J].中国康复,2012,27(2):99-101
PNF技术在桡神经损伤修复术后功能恢复的应用
Effectiveness of PNF for Radial Nerve Functional Recovery after Repair
  
DOI:
中文关键词: PNF  桡神经;显微外科;运动功能;感觉功能
英文关键词: PNF  radial nerve  microsurgical operation  motor function  sensory function
基金项目:
作者单位
车世钦 大连大学附属中山医院康复医学科辽宁 大连 116001 
于敏 大连大学附属中山医院康复医学科辽宁 大连 116001 
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中文摘要:
  目的:观察PNF技术治疗桡神经损伤修复术后对腕关节活动度、运动和感觉功能的影响。方法:选取桡神经损伤显微外科修复术后患者34例,随机分为对照组和PNF组各17例。2组均于术后患者病情稳定后,进行常规肌力、关节活动度和感觉刺激训练等康复治疗。PNF组增加等张,拮抗肌反转,关节活动度牵拉等PNF技术训练。结果:治疗4个月后,2组腕关节感觉和运动功能评分及ROM均较治疗前明显提高(P<0.01),且PNF组显著高于对照组(P<0.01,0.05)。2组治疗后临床疗效比较,PNF组达优率及优良率均明显高于对照组 (P<0.05)。结论:PNF对桡神经损伤修复术后功能恢复有促进作用,值得临床推广应用。
英文摘要:
  Objective: To study the effectiveness of PNF for radial nerve functional recovery after surgical repair by detecting the ROM on wrist, motor function and sense function. Methods: Thirty-four patients with radial nerve injury after surgical repair, who were in stable disease conditions, were divided randomly into the control group (n=17) and experimental group (n=17). All patients in both two groups received conventional therapies: including systematic rehabilitation exercise on muscle strength, joint mobilization, sense stimulation, etc. The patients in experimental group were treated by the PNF additionally. After 4 months, every one had a functional assessment. Results: Before treatment, there was no significant difference between the control group and the experimental group in degrees in dorsal extension and radial deviation on wrist, motor ability, and sensory functions.After treatment, all subjects got significant improvement(P<0.01). There were statistically significant difference between the two groups (P<0.05), especially degrees in dorsal extension and radial deviation on wrist (P<0.01). Conclusion: PNF was effective in radial nerve functional recovery after surgical repair, deserving clinical application.
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