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三梯杠康复练功器治疗脑血管病关节废用综合征 |
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张昌志 陈国林 张振海 徐晓静 谢印录 张立丽
摘要 目的：观察脑血管病恢复期后遗症期不同程度的肢体关节废用综合征患者应用TWZ-1型三梯杠多功能练功器进行康复治疗性训练的疗效。方法：选择患者150例，脑血栓形成86例，脑出血64例，病程42天～1 年半，恢复期54例，后遗症期96例。采用患肢与健肢的正常运动轴位作对照。结果：有效率：肩关节82.6%、肘关节93.1%、腕关节86.7%、髋关节76.5%、膝关节85.7%、踝关节94.7%。总有效率88%(P<0.01)。疗程平均82.49天。结论：三梯杠多功能练功器是肢体偏废关节废用综合征功能康复较理想的治疗性训练器械。
关键词 训练器；脑血管病；关节废用
Three-step bars rehabilitation training instrument in the treatment of cerebrovascular disease joints disability syndrome
ZHANG Changzhi, CHEN Guolin, ZHANG Zhenhai, et al
Chinese Journal of Rehabilitation Medicine,1999,14(5):213～215
Abstract Objective:To observe the therapeutic effect of type TWZ-1 three-step bars multi-function training instrument in the treatment of patients with different degree limb joints disability syndrome during the cerebrovascular disease recovery period and sequela period. Method: To choose 150 patients, 86 with cerebral thrombosis, 64 with cerebral hemorrhage, the shortest course of disease was from 42 days to 1.5 years, 54 patients were in recovery period, and 96 were in sequela period. The normal movement axes of diseased and healthy limbs were compared. Result: The effective rate were shoulder joint 82.6%,elbow joint 93.1%, wrist joint 86.7%, hip joint 76.5%, knee joint 85.7%, ankle joint 94.7%, and the total effective rate was 88%(P<0.01) . The shortest course of treatment was 40 days, and the longest was 200 days, averaged 82. 49 days. Conclusion：The three-step bars multi-function training instrument is an ideal theraputic training instrument for patients with limb joints disability syndrome.
Author′s address National Defence University Hospital, Beijing,100091
Key words Training instrument; Cerebrovascular disease; Joint disability
脑血管病引起肢体关节废用，是康复治疗中比较困难的问题，自然恢复仅有40%－50％〔1〕。从1987 年以来我们采用自行制作的TWZ-I 型三梯杠多功能康复练功器（简称练功器）治疗150例不同部位关节废用患者取得了满意效果。
1 资料和方法
1.1 临床资料
本组150例中，男102人，女48人；年龄30岁～8[1] [2] 下一页
上一个医学论文： 老年脑梗塞患者恢复期血压的昼夜变化
下一个医学论文： 脑卒中急性期和非急性期康复疗效及其相关性研究
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