| 陈小虎.等速肌力测试训练系统在学龄期痉挛型脑性瘫痪患者中的应用[J].中国康复,2018,33(4):293-296 |
| 等速肌力测试训练系统在学龄期痉挛型脑性瘫痪患者中的应用 |
| Application of isokinetic test and training system in spastic cerebral palsy in school-age |
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| DOI： |
| 中文关键词: 等速训练 痉挛型脑性瘫痪 步行功能 |
| 英文关键词: Isokinetic exercise Spastic cerebral palsy Walking function |
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| 中文摘要: |
| 目的：研究等速肌力测试训练系统在学龄期痉挛型脑性瘫痪患者康复治疗中的应用。方法：将30例学龄期痉挛型脑瘫患者随机分为2组各15例，对照组使用常规康复治疗手段，观察组在对照组基础上增加髋关节屈伸肌群的等速肌力训练。治疗前后用起立-行走计时测试（TUGT），BERG平衡量表(BBS)评定,同时采用Isomed 2000等速肌力测试及训练系统测定双侧屈髋峰力矩（PTF）、伸髋峰力矩（PTE）、双侧屈伸髋峰力矩体重比(PT/BW)。结果：30°/S角速度双侧峰力矩比较：治疗3个月后，观察组左右侧下肢PTF、PTE、PTF/BW及PTE/BW均较治疗前及对照组明显提高（均P<0.05），对照组左右侧下肢PTE、PTF/BW及PTE/BW均较治疗前明显提高（均P<0.05），PTF治疗前后比较差异无统计学意义。60°/S角速度双侧峰力矩比较：治疗后，观察组左右侧下肢PTF、PTE、PTF/BW及PTE/BW均较治疗前及对照组明显提高（均P<0.05），对照组治疗前后比较均差异无统计学意义。治疗后，2组TUGT评分均较治疗前明显下降（均P<0.05），且观察组明显低于对照组（P<0.05）；2组BBS评分治疗前后虽然均有提高，但差异无统计学意义。结论:等速肌力测试训练系统作为康复治疗中有效的肌力训练的手段，能够在痉挛型脑瘫患者上使用，值得临床推广。 |
| 英文摘要: |
| Objective: To study the application of isokinetic muscle strength test and training system in the rehabilitation treatment of patients with spastic cerebral palsy in school-age. Methods: Thirty cases of spastic cerebral palsy in school age were randomly divided into 2 groups, 15 cases in each group. The control group and observation group were given conventional rehabilitation therapy, and the observation group was subjected to the isokinetic muscle strength training of the flexor and extensor muscles of the hip joint additionally. Before and after treatment, timed up and go test (TGT), Berg Balance Scale (BBS), and Isomed 2000 isokinetic muscle strength test and training system were used to evaluate bilateral hip flexion peak torque (PTF), hip extension torque (PTE) and bilateral flexion and extension hip peak torque body weight ratio (PT/BW). Results: (1) Comparison of bilateral peak torques at 30°/S angular velocity: After treatment for 3 months, the PTF, PTE, PTF/BW and PTE/BW in the bilateral lower limbs of the observation group were significantly higher than those before treatment and the control group (P<0.05). In control group, PTE, PTF/BW and PTE/BW in bilateral lower extremities were significantly higher than those before treatment (P<0.05), and there was no significant difference in PTF before and after treatment. (2) Comparison of bilateral peak torques at 60°/S angular velocity: After treatment, the PTF, PTE, PTF/BW and PTE/BW of the lower extremities in the observation group were significantly higher than those before the treatment and the control group (P<0.05), and there was no significant difference in the control group before and after treatment. After treatment, the TUGT scores in both groups were also significantly lower than those before treatment (P<0.05), and those in the observation group were significantly lower than those in the control group (P<0.05). BBS scores in both groups were increased after treatment, but the difference was not statistically significant. Conclusion: The isokinetic muscle strength test and training system, as an effective muscle strength training method in rehabilitation therapy, can be used in patients with spastic cerebral palsy, and is worthy of clinical promotion. |
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