计算机辅助肌力训练对断腕断掌再植患者手功能恢复的影响

发布时间：2018-10-08 10:09

【摘要】：目的:通过评价和比较传统手部肌力训练方法和计算机辅助训练方法对手功能恢复的作用,探讨计算机辅助肌力训练对断腕断掌再植患者手功能的影响。方法:选择24例断腕断掌再植患者,随机分为治疗组和对照组,均接受常规物理因子、关节活动度、日常生活相关性治疗性活动等康复治疗。治疗组采用自主研制的计算机辅助装置进行握力、捏力训练,而对照组采用传统的方法(使用弹力治疗带、治疗泥等)进行训练,两组均为每次20min,一周5次,共4周。治疗前及治疗4周后进行评定,包括关节总主动活动度(TAM)、侧捏力、握力、日常生活活动(ADL)能力以及上肢功能指数(UEFI)评定。结果:组内比较,两组患者治疗4周后TAM、侧捏力、握力、ADL评分和UEFI评分均较治疗前改善(P0.05)。与对照组相比,治疗组侧捏力、握力、ADL、UEFI评分提高幅度更大,差异有显著意义(P0.05)。而两组的TAM改善程度无显著差异(P0.05)。结论:计算辅助肌力训练能更好地增强断腕断掌再植患者的手部力量,更有效地提高手功能,是值得推广的一种治疗方法。
[Abstract]:Objective: to evaluate and compare the effects of traditional hand muscle strength training method and computer assisted training method on hand function in patients with replantation of broken wrist and metacarpal. Methods: Twenty-four patients with replantation were randomly divided into treatment group and control group. All patients were treated with routine physical factors, joint activity, daily life related therapeutic activities and so on. In the treatment group, the grip strength and kneading force were trained with a computer-aided device developed by ourselves, while the control group was trained with traditional methods (using elastic treatment belt, treatment mud, etc.). The two groups were treated for 20 mins, 5 times a week for 4 weeks. The total active motion of the joint was evaluated before and 4 weeks after treatment, including the total active range of joint (TAM), side pinch strength, grip strength, daily life (ADL) ability and upper limb function index (UEFI). Results: after 4 weeks of treatment, TAM, side pinch strength, grip strength, ADL score and UEFI score were improved in both groups (P0.05). Compared with the control group, the side pinch strength, grip strength and ADLL UEFI score in the treatment group were significantly increased (P0.05). There was no significant difference in the improvement of TAM between the two groups (P0.05). Conclusion: Computer-assisted muscle strength training can enhance the strength of the hand and improve the hand function of the patients with replantation of broken wrist and metacarpal more effectively. It is a treatment method worth popularizing.
【作者单位】：华中科技大学同济医学院附属协和医院康复科;华中科技大学控制科学与工程系;华中科技大学同济医学院附属协和医院手外科;
【基金】：华中科技大学自主创新基金交叉学科项目(2011JC072)
【分类号】：R658.1;R493

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