中国组织工程研究 ›› 2010, Vol. 14 ›› Issue (13): 2391-2394.doi: 10.3969/j.issn.1673-8225.2010.13.028

• 数字化骨科 digital orthopedics • 上一篇    下一篇

具有主动与被动运动训练功能自动化运动治疗仪的研制

吴  洪,冉春风,陈  炜   

  1. 深圳市龙岗中心医院暨深圳市第九人民医院康复科,广东省深圳市    518116
  • 出版日期:2010-03-26 发布日期:2010-03-26
  • 通讯作者: 冉春风,教授,主任医师,深圳市龙岗中心医院暨深圳市第九人民医院康复科,广东省深圳市 518116 sun1168@163.com
  • 作者简介:吴 洪★,男,1976年生,江西省大余县人,汉族,2009年遵义医学院毕业,硕士,主治医师,主要从事骨科康复方面的研究。 wuhong8786269@163.com
  • 基金资助:

    深圳市卫生局科技项目(A2006619)“电脑多功能运动治疗仪的研制”。

Development of a movement training machine with active and passive movement training function

Wu Hong, Ran Chun-feng, Chen Wei   

  1. Department of Rehabilitation, Shenzhen Longgang Central Hospital (Ninth People’s Hospital of Shenzhen), Shenzhen   518116, Guangdong Province, China
  • Online:2010-03-26 Published:2010-03-26
  • Contact: Ran Chun-feng, Professor, Chief physician, Department of Rehabilitation, Shenzhen Longgang Central Hospital (Ninth People’s Hospital of Shenzhen), Shenzhen 518116, Guangdong Province, China sun1168@163.com
  • About author:Wu Hong★, Master, Attending physician, Department of Rehabilitation, Shenzhen Longgang Central Hospital (Ninth People’s Hospital of Shenzhen), Shenzhen 518116, Guangdong Province, China wuhong8786269@163.com
  • Supported by:

    the Science and Technology Program of Shenzhen Health Bureau, No. A2006619*

摘要:

背景:研制自动化运动治疗设备是肢体功能障碍患者和家属的迫切要求,而国外同类产品价格相对昂贵。目前国内外尚无主动运动和被动运动结构合成一体,体现出两者作用相辅的运动治疗仪。
目的:应用自行研制的电脑多功能运动治疗仪对脑卒中肢体偏瘫患者进行主动运动和被动运动训练,观察其训练效果。
方法:将60例脑卒中肢体偏瘫患者按随机数字表法分为试验组和对照组,每组30例。两组患者均采用偏瘫肢体综合训练手法,如Bobath握手、桥式运动、翻身、PNF技术训练、坐位平衡和站立平衡功能训练等。试验组在偏瘫肢体综合训练基础上,采用自行研制的电脑多功能运动治疗仪训练偏瘫侧上下肢体。治疗30 d后采用Brunnstrom方法评定2组患者运动功能的改善情况,以Barthel指数评定日常生活活动能力的改善情况。
结果与结论:与治疗前相比,治疗30 d后2组患者肢体运动功能和日常生活活动能力均有较明显改善,试验组总有效率明显高于对照组(P < 0.05)。提示采用自行研制的电脑多功能运动治疗仪对脑卒中后偏瘫患者进行运动训练有利于其偏瘫肢体运动功能的恢复,从而提高其生活质量;应根据患者具体病情制定个体化康复治疗方案,尽早应用于脑卒中偏瘫患者的康复治疗中。

关键词: 电脑多功能运动治疗仪, 研制, 偏瘫肢体, 主动运动, 被动运动  

Abstract:

BACKGROUND: Development of automatized multifunctional movement training machine is very essential for patients with limbs disturbance. However, the foreign machine is expensive. Currently, there is no movement training machine with active movement training and passive movement training function.
OBJECTIVE: To observe the effects of computer multifunctional movement training machine in the treatment of stroke patients.
METHODS: A total of 60 stroke patients were randomly divided into therapeutic and control groups with 30 patients in each group. All patients were subjected to comprehensive rehabilitation therapy, such as Bobath handshake, bridge exercise, turning over training, Kabat-Knott-Voss program, seat and arise balance function training. The therapeutic group was trained using the computer multifunctional movement training machine in addition to comprehensive rehabilitation therapy. Movement function and activity of daily life of two group patients were assessed with Brunnstrom method and Barthel index of ability of daily life, respectively.
RESULTS AND CONCLUSION: After 30 days of treatment, movement function score and activity of daily life of two groups patients were improved, in particular, the therapeutic group was significantly improved compared with the control group (P < 0.05). The computer multifunctional movement training machine and comprehensive rehabilitation treatment are effective for stroke patients, which benefits recovery of movement function to improve quality of life. Individualized rehabilitation protocol should be formulated and applied as early as possible for stroke patients.

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