等速测试指标与改良Ashworth量表用于踝痉挛评定的相关性研究

发布时间：2018-06-15 02:00

本文选题：脑卒中 + 等速测试指标　；参考：《中国康复理论与实践》2016年02期

【摘要】：目的研究等速被动测试指标与改良Ashworth量表(MAS)评定的相关性。方法 2014年8月~2015年3月,本院接收康复治疗慢性脑卒中患者18例作为痉挛组,16名健康对照者作为对照组。MAS评定痉挛组踝关节肌张力,BIODEX等速运动测试系统评定两组踝关节被动运动,角速度分别为10°/s、60°/s、120°/s、180°/s、240°/s。测试峰力矩(PT)、峰力矩体重比(PT/BW)、平均力矩(AT)、峰力矩-角速度线性斜率(SLOPE)。运用Spearman法对上述两组结果进行相关分析。结果痉挛组不同角速度PT、PT/BW、AT均大于对照组(P0.05),等速指标随角速度增大而增大,120°/s后上升缓慢。痉挛组4个等速指标与MAS相关系数为0.3043~0.7632(P0.01),SLOPE的数值最大。结论等速指标与MAS具有相关性,符合痉挛中速度依赖的定义。120°/s敏感性最高,SLOPE与MAS相关性最显著。
[Abstract]:Objective to study the correlation between isokinetic passive test and modified Ashworth scale. Methods from August 2014 to March 2015, 18 patients with chronic stroke treated by rehabilitation therapy were treated as spastic group and 16 healthy controls were used as control group. MAS was used to evaluate ankle muscle tension and Biodix isokinetic motion test system in two groups. The angular velocity was 10 掳/ s ~ 60 掳/ s ~ (60) / s ~ (180) / s ~ (240) / s) respectively. The peak torque is measured by PTT, the ratio of peak torque to body weight is equal to that of PTP / BWN, the average torque is equal to ATT, and the linear slope of peak torque to angular velocity is slope. Spearman method was used to analyze the correlation between the two groups. Results in the spasm group, PTT / BWN AT at different angular velocities was higher than that in the control group (P 0.05), and the isokinetic index increased slowly with the increase of angular velocity by 120 掳/ s. The correlation coefficient between four isokinetic indexes and MAS in spastic group was 0.3043 and 0.7632 (P0.01) respectively. Conclusion the isokinetic parameters are correlated with MAS, and accord with the definition of velocity dependence in spasms. 120 掳/ s sensitivity is the highest.
【作者单位】：解放军医学院;中国人民解放军总医院康复医学科;首都医科大学附属北京康复医院康复诊疗中心;
【分类号】：R743.3

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