《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (9): 808-809.

• 论文 • 上一篇    下一篇

水平位上肢持续被动运动训练对脑卒中患者肱二头肌肌张力及肌力的疗效

张裴景，郭健，郭青川，任亚峰，王静，冯晓东   

  1. 河南中医学院第一附属医院康复中心，河南郑州市450000
  • 收稿日期:2012-06-16 修回日期:1900-01-01 出版日期:2012-09-25 发布日期:2012-09-25

Effect of Horizontal Multi-joint Arm Continuous Passive Motion on Tension and Strength of Biceps Brachii of Patients with Stroke

ZHANG Pei-jing, GUO Jian, GUO Qing-chuan, et al   

  1. Rehabilitation Centre of Henan College of Traditional Chinese Medcine,Zhengzhou 450000, Henan, China
  • Received:2012-06-16 Revised:1900-01-01 Published:2012-09-25 Online:2012-09-25

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摘要： 目的观察水平位多关节上肢持续被动运动(CPM)训练对脑卒中患者肱二头肌的肌张力、肌力的疗效。方法60 例脑卒中患者分为治疗组(n=30)和对照组(n=30)，均接受基础药物治疗和康复治疗；对照组接受常规作业治疗，治疗组接受常规作业治疗结合水平位多关节上肢CPM训练。均治疗1 个月。治疗前后分别用表面肌电分析系统进行肌张力、肌力的肌电分析。结果治疗后，两组患者的肌力、肌张力均较治疗前改善(P<0.05)，治疗组的肌力、肌张力较对照组改善更多(P<0.05)。结论水平位上肢多关节CPM训练能缓解脑卒中偏瘫患者肱二头肌肌张力，增强其肌力。

关键词: 脑卒中, 上肢, 持续被动运动, 肌力, 肌张力, 表面肌电图

Abstract: Objective To observe the effect of horizontal multi-joint arm continuous passive motion (CPM) training on muscle tension and strength of biceps brachii of patients with stroke. Methods 60 patients with stroke were divided into treatment group (n=30) and control group (n=30). All the patients accepted routine medication and rehabilitation. The treatment group accepted horizontal multi-joint arm CPM training in addition. Their surface electromyography of biceps brachii was analyzed with surface electromyography analysis system: tension and strength before and after treatment. Results The tension and strength of biceps brachii improved in both groups after treatment (P<0.05), and improved more in the treatment group than in the control group (P<0.05). Conclusion The horizontal multi-joint arm CPM training may relieve the muscle tension and enhance the strength of biceps brachii after stroke

Key words: stroke, upper limbs, continuous passive motion, muscle strength, muscle tension, surface electromyography