中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (7): 1317-1320.doi: 10.3969/j.issn.1673-8225.2011.07.040

• 组织构建临床实践 clinical practice in tissue construction • 上一篇    下一篇

力量训练和功能训练偏瘫阴性患者上肢神经肌肉功能的恢复：个案特点

杨  宁，陈培友   

  1. 南京师范大学体育科学学院，江苏省南京市 210097
  • 收稿日期:2010-08-27 修回日期:2010-10-03 出版日期:2011-02-12 发布日期:2011-02-12
  • 作者简介:杨宁★，女，1964年生，江苏省南京市人，汉族，1986年于南京师范大学毕业，硕士，副教授，主要从事运动学习和运动控制及偏瘫运动疗法的研究。 yangning12148@yahoo.cn
  • 基金资助:

    江苏省高校自然科学基金项目(06KJB320064)，体育节律性运动对偏瘫上肢康复影响机制的研究。

Effects of strength training and functional training on recovery of upper limb motor in a patient with negative symptom: A case study 

Yang Ning, Chen Pei-you   

  1. College of Physical Education, Nanjing Normal University, Nanjing  210097, Jiangsu Province, China
  • Received:2010-08-27 Revised:2010-10-03 Online:2011-02-12 Published:2011-02-12
  • About author:Yang Ning★, Master, Associate professor, College of Physical Education, Nanjing Normal University, Nanjing 210097, Jiangsu Province, China yangning12148@yahoo.cn
  • Supported by:

    the Natural Science Foundation for University and College in Jiangsu Province, No. 06KJB320064*

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摘要：

背景：偏瘫患者上肢功能康复目前许多治疗方法，但针对患者的病症，以独立功能能力为目标的任务导向性训练方法报道不多。
目的：探讨功能训练和力量训练对偏瘫阴性特征患者上肢动作能力恢复的疗效。
方法：对因脑蛛网膜下腔出血，做动脉瘤栓塞时血管壁沉淀物堵塞中动脉血管造成右偏瘫致上运动神经元损伤的偏瘫阴性患者进行训练前后的BrunstormⅤ级动作测试，同时进行录像和肌电图测试，通过录像发现运动障碍，找出中枢性瘫痪肌肉，对患者瘫痪肌的功能进行运动学分析，治疗前后患侧神经肌肉功能的进步情况。
结果与结论：通过150次的训练，使患者完全失用的右手能完成功能训练(吃香蕉动作)14次。说明功能训练和力量训练对偏瘫阴性特征患者上肢动作能力的康复效果显著。

关键词: 偏瘫阴性特征, 力量训练, 表面肌电图, 主动运动, 运动技能

Abstract:

BACKGROUND: Many treatments are involved in upper limb motor recovery after stroke, however, few reports concerning independent function-mediated training.
OBJECTIVE: To explorer the effect of muscle strength training and functional training for patient with negative symptom on upper limb motor recovery after stroke.
METHODS: One patient with hemiplegia was asked to finish the movement of Brunnstrom Ⅴ and tested sEMG and video. According to the principle and method of evidence-based medicine, paralytic muscles were found and as an evidence for treatment strategy and movement prescription. The reasons of function recovery were explore through Motion parameter analysis combined sEMG index. According to the motor control theory, the development of affected muscle was observed prior to and after treatment.
RESULTS AND CONCLUSION: After the rehabilitative training for 150 times, the subject had finished the motion function of upper limb (eat banana) about 14 times. The effect of muscle strength training and functional training are very effective for the patient with negative symptom.

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