MOTOmed 运动训练系统对颈髓损伤四肢瘫痪患者上肢肌力的影响

Effect of MOTOmed training system on the muscle force of upper limbs in patients with CSCI paraplegia

目的：探讨MOTOmed运动训练系统对颈脊髓损伤（ CSCI ）上肢瘫痪患者上肢肌力的治疗作用。方法选择CSCI上肢瘫痪患者205例，随机分为MOTOmed训练组（观察组）99例和常规康复组（对照组）106例。对照组常规进行针刺、理疗、运动疗法，观察组在常规康复训练的基础上加MOTOmed坐位训练系统。干预前后对两组患者进行上肢功能评估、肌张力评估、日常生活能力评分（QIF），比较康复效果。结果训练4个疗程后观察组患者左、右侧肌力评分分别为[（10．98±177;2．01），（10．96±177;2．18）]分；康复训练8个疗程后，左侧肌力为（11．97±177;1．94）分，右侧肌力为（12．15±177;1．94）分，与对照组比较差异均有统计学意义（ t值分别为2．238，2．106，2．643，2．608；P＜0．05）；康复训练前，对照组和观察组患者肌张力比较差异无统计学意义（P＞0．05）；康复训练后，对照组和康复组肌张力得分比较差异均有统计学意义（P＜0．01）；QIF总分（46．25±177;2．115）分，优于对照组，差异有统计学意义（t ＝1．963，P＜0．01）。结论 MOTOmed训练后四肢瘫患者上肢肌力评分增加、肌张力增高，增强了肢体肌群的力量，提高了生活质量。

Objective To discuss the curative effect of MOTOmed training system on the muscle force of upper limbs in patients with CSCI paraplegia .Methods 205 patients with CSCI paraplegia were randomly divided into the observation group （n =99） and the control group （n =106）.The control group used conventional treatment of acupuncture , physiotherapy and exercise , while the observation group received MOTOmed seat training system in addition .Functional assessment , muscle force assessment and QIF were conducted and compared between two groups before and after intervention .Results After 4 courses of treatment, the score of left and right muscle force was （10.98 ±177;2.01）and（10.96 ±177;2.18）in the observation group.After 8 courses of treatment, the score of left and right muscle force was （11.97 ±177;1.94）and（12.15 ±177; 1.94）.The scores were significantly different from those in the control group （t=2.238,2.106,2.643,2.608, respectively;P＆lt;0.05）.Before recovery training, there was no statistically significant difference between two groups （P〉0.05）.But after training, the difference was statistically significant （P〈0.01）.The total score of QIF was （46.25 ±177;2.115） in the observation group, better than that in the control group, and the difference was statistically significant （t=1.963,P＆lt;0.01）.Conclusions MOTOmed training system can increase the muscle force, muscle hypertonia and muscle strength of patients with CSCI paraplegia , so as to improve their quality of life.