李益平，张颖，杜金刚.等速训练对乳腺癌术后患者上肢功能的影响[J].中华物理医学与康复杂志,2017,39(10):769-772
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| 等速训练对乳腺癌术后患者上肢功能的影响 |
| The effects of isokinetic training on shoulder function in patients underwent surgical operation of breast cancer |
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| DOI： |
| 中文关键词: 乳腺癌 等速运动 淋巴水肿 上肢功能 |
| 英文关键词: Breast cancer Isokinetic training Lymphedema Shoulder function |
| 基金项目:天津市卫生局科技基金项目（2012KZ111） |
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| 摘要点击次数: 3063 |
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| 中文摘要: |
| 目的 探讨等速运动对乳腺癌术后患者上肢功能的影响。 方法 选取乳腺癌女性患者70例，按随机数字表法分为等速组（36例）和对照组（34例）。2组患者均给予常规康复治疗，等速组在此基础上进行等速肌力训练。分别于治疗前和治疗2个月后（治疗后），采用放射性核素淋巴扫描观测2组患侧上肢淋巴流量的变化，在腕横纹上10cm处测量2组双侧上臂周径，应用ISOMED2000为等速组记录等速肌力测定值，采用Constant-Murley肩功能评定标准对患者进行上肢功能的评定，采用测角器测量肩关节活动度。 结果 ①治疗后，等速组和对照组的上肢淋巴流量分别为（16.8±2.5）和（10.9±3.4），较组内治疗前［（7.6±3.4）和（7.7±3.2）］明显增加（P<0.05），等速组治疗后的上肢淋巴流量明显大于对照组治疗后（P<0.05）；双侧上臂周径差值［（2.1±0.2）和（4.5±0.3）cm］均较组内治疗前［（5.5±0.4）和（5.2±0.8）cm］减小（P<0.05），等速组治疗后的双侧上臂周径差值明显小于对照组治疗后（P<0.05）。②等速组患者治疗后的等速肌力测量值（峰力矩、总功率、平均功率）均较治疗前明显增加（P<0.05）。③2组患者治疗后的上肢功能评分均较组内治疗前明显增加（P<0.05），等速组患者治疗后的上肢功能评分总分［（96.74±12.23）分］明显高于对照组治疗后［（84.17±12.16）分］，差异有统计学意义（P<0.05）。④2组患者治疗后的肩关节活动度均较组内治疗前明显增加（P<0.05），等速组治疗后的肩关节活动度［前屈（150.25±16.13）°、后伸（46.83±8.52）°、外展（169.38±14.53）°、内收（35.93±5.62）°］明显高于对照组治疗后［前屈（144.67±19.15）°、后伸（39.84±6.93）°、外展（137.13±11.67）°、内收（31.68±5.29）°］，且差异有统计学意义（P<0.05）。 结论 等速运动可以提高乳腺癌术后患者的上肢功能。 |
| 英文摘要: |
| Objective To investigate the effect of isokinetic training on shoulder function in patients underwent surgery of breast cancer． Methods Seventy breast cancer patients were randomly allocated into an isokinetic group(36 cases) and a control group(34 cases)．Both groups were treated with traditional rehabilitation treatments, and the patients in the isokinetic group also received isokinetic training in addition. The lymphatic return, the circumference of upper limb, the maximum torque(MT), the total work(TW), the average work(AW), the shoulder function and the range of motion of the shoulder at the affected side were recorded before and after training． Results ①After training, the lymphatic return and the circumference of upper limb improved in both groups compared with baseline, while those in the isokinetic group improved to a significantly greater extent（P<0.05）. ②After training, average MT, TW and AW increased significantly in isokinetic group（P<0.05）; the shoulder function and the range of motion of affected side shoulder increased in both groups compared with baseline, but the isokinetic group increased significantly better（P<0.05）. Conclusion Isokinetic training can improve the shoulder function of patients underwent breast cancer surgery. |
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