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人體肩關(guān)節(jié)運動功能康復(fù)評估研究

Research on rehabilitation assessment of movement function in human shoulder joint

作者: 潘國新  陶春靜 
單位:國家康復(fù)輔具研究中心輔具與專用設(shè)備研究部(北京100176)
關(guān)鍵詞: 肩關(guān)節(jié);外展活動度;偏癱;運動功能;康復(fù)評估;評價方法 
分類號:R318;R493
出版年·卷·期(頁碼):2016·35·1(58-63)
摘要:

目的 針對上肢運動功能障礙患者康復(fù)治療中,常規(guī)康復(fù)評價方法繁瑣費時的問題,探討人體肩關(guān)節(jié)運動功能康復(fù)評價的新方法。方法 選取20名健康志愿者,利用上肢多關(guān)節(jié)復(fù)合運動訓(xùn)練系統(tǒng)(multi-joint system,MJS)進行上肢運動功能評價實驗,并對肩關(guān)節(jié)運動功能評價參數(shù)進行統(tǒng)計。選取在臨床進行康復(fù)治療的20例偏癱患者作為常規(guī)評價組,采用上肢Fugl-Meyer評分(Fugl-Meyer assessment,FMA)評定患者的上肢運動功能,并對上肢運動功能評分的參數(shù)數(shù)據(jù)進行統(tǒng)計分析。結(jié)果 在健康人MJS運動功能評價實驗中,經(jīng)參數(shù)間的相關(guān)性分析,統(tǒng)計無顯著意義(P >0.05)。在多元逐步回歸分析時,只引進了水平外展活動度,差異有統(tǒng)計學(xué)意義(P <0.05)。在對偏癱患者上肢運動功能的評估數(shù)據(jù)分析中,在多元逐步回歸分析時,只引進了水平外展活動度,差異有統(tǒng)計學(xué)意義(P <0.05)。結(jié)論 肩關(guān)節(jié)外展活動度對肩關(guān)節(jié)運動評估等級劃分和上肢FMA評分影響最大。

Objective Due to the problem of tedious and time-consuming routine evaluation in rehabilitation training,this research discussed the new method of evaluating the movement function of human shoulder joint for hemiplegic patients.Methods Twenty healthy volunteers were chosen as the multi-joint system (MJS) experiment group. Then the MJS experiment of human upper limb was designed and carried out,and the evaluation data was analyzed. Furthermore,20 hemiplegic patients who were evaluated by routine methods were chosen as the routine group. All of the patients were assessed with the Fugl-Meyer assessment (FMA) for upper limb. Meanwhile the data and the characteristics of the movement evaluation for upper limb were analyzed. Results The correlation analysis showed no difference on the characteristics of evaluating the shoulder joint movement of healthy persons (P>0.05). Multiple regression analysis showed that horizontal abduction angle was introduced,with a statistically significant difference (P <0.05). To the data analysis on evaluating the upper limb movement function of hemiplegic patients,Multiple regression analysis showed that abduction angle was introduced,with a statistically significant difference (P<0.05). Conclusions The abduction angle of shoulder joint has the biggest impact on the assessment level and the FMA score of the movement function in shoulder joint. 

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