吴霜，刘春风，楚兰，陈彦，王志涛，田新原.等速运动训练对不完全脊髓损伤患者肌耐力和社区步行的影响[J].中华物理医学与康复杂志,2016,38(12):900-903
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| 等速运动训练对不完全脊髓损伤患者肌耐力和社区步行的影响 |
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| DOI： |
| 中文关键词: 不完全脊髓损伤 等速运动训练 肌肉耐力 社区步行 |
| 英文关键词: Spinal cord injury Isokinetic training Endurance Walking |
| 基金项目:贵州省科技计划项目（黔科合同LG字［2012］037号），贵州省卫生厅科学技术基金项目（gzwkj2011-1-103） |
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| 中文摘要: |
| 目的探讨等速训练对不完全脊髓损伤（SCI）患者下肢肌耐力和社区步行的影响。 方法选取符合入选标准的腰段不完全性SCI患者60例，按随机数字法分为对照组和治疗组各30例。对照组给予常规康复训练，治疗组在此基础上增加等速运动训练（包括肌力训练和肌耐力训练）。于治疗前和治疗3个月后（治疗后）测试2组患者股四头肌和腘绳肌等速耐力比(RO)、股直肌(RF-MPF)和股二头肌表面肌电平均功率频率（BF-MPF），并进行6分钟步行测试（6MWT），同时比较治疗后2组患者可完成社区性步行的例数。 结果治疗后， 2组患者以上各项指标与组内治疗前比较，差异均有统计学意义（P<0.01），且治疗组的腘绳肌和股四头肌RO、RF-MPF、BF-MPF和6MWT亦显著优于对照组治疗后，差异均有统计学意义（P<0.01）。治疗后，治疗组27例患者中有25例可以完成社区性步行，对照组28例患者中有20例可以完成社区性步行，组间比较，χ2＝4.139，差异有统计学意义（P<0.05）。 结论等速运动训练结合常规康复治疗可显著改善不完全性SCI患者的下肢肌耐力和社区步行能力。 |
| 英文摘要: |
| Objective To explore the effects of isokinetic training on muscle endurance and the ambulatory capacity of patients with incomplete lumbar spinal cord injury (SCI). MethodsSixty patients were randomly divided into a control group and a treatment group, each of 30. Both groups were given conventional rehabilitation, while the treatment group was additionally provided with isokinetic muscle strength and muscle endurance training for 3 months. The endurance ratio (RO) of the quadriceps and hamstrings, the mean power frequency of the rectus femoris (RF-MPF) and the biceps flexor cruris (BF-MPF), and distance covered in the 6-minute walk test (6MWT) were evaluated before and after the treatment. An index of functional community ambulation was also compared between the 2 groups. ResultsAfter the treatment significant differences were observed in all of the measurements compared to before the treatment for both groups. The average RO improvement of the quadriceps and hamstrings, the BF-MPF, the RF-MPF and the 6MWT distance of the treatment group were all significantly higher compared with the control group. After the treatment, 25 patients of the treatment group could demonstrate functional community ambulation, significantly better than that of 20 of the control group. ConclusionIsokinetic training can improve muscle endurance and the walking capacity of persons with an incomplete lumbar spinal cord injury. |
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