偏瘫膝关节分离运动强化训练的效果

Effects of intensive training method for selective movement of knee in hemiplegia

为提高偏瘫膝关节的运动能力，克服膝过伸，改善步态，本研究设计了循序渐进的强化膝关节分离运动的训练方法。研究对象为４０例能行走，但无膝关节分离运动的偏瘫患者。２０例进行强化训练，另２０例作为对照。治疗后两组Ｆｕｇｌ－Ｍｅｙｅｒ得分相差显著（Ｐ＜０．０１）。对照组只有２例出现膝分离运动，而强化组有１０例出现分离运动。结果表明这种强化膝关节分离运动的训练方法对改善膝关节功能，进而改善步态，效果良好。

An intensive training method to facilitate selective movement at the knees was designed. 40 postacute hemiplegic adults were included in the study.20 cases were trained with an intensive method. Anothers were trained with common methods as control group.There is significant difference (P<0. 01) between two groups after training.10 subjects recovered selective movement at the knees gait in the intensive group, while only two subjects recovered selective movement in the control group. The result showed that this intensive training method is effective for improving affected knee function, and gait quality.Author's address: Department of Stroke Rehabilitation, No. l Sanatorium of Dalian, Shenyang Military Region of PLA, 116013