智能牵伸及其在踝部痉挛和挛缩中的应用

Intelligent Stretching and Its Application in Spasticity and Contracture of Ankle Joint

神经功能受损,如脑卒中、脑瘫等可以引起踝部痉挛/挛缩。治疗师的牵拉费力、费时,且依赖其主观"终末感觉"。智能牵伸可以安全牵伸踝关节至极限位置,并能定量控制阻力矩和拉伸速度。此外,它能够满足定量和客观测量功能损害和康复效果的需要。本文介绍了智能牵伸的由来和定义,原理与优缺点以及它在脑瘫和脑卒中患者踝部痉挛/挛缩中的应用。

Contracture and spasticity of ankle joints were major sources of disability in neurological impairment including stroke and cerebral palsy, etc. The manual stretching used in physical therapy might be laborious and time-consuming to the therapists and the outcome was dependent on the experience and the subjective ＂end feeling＂ of the therapists. A device was developed that could safely stretch the ankle joint to its extreme positions with quantitative control of the resistance torque and stretching velocity. Furthermore, it could satisfy a strong need for quantitative and objective measures of the impairment and rehabilitation outcome. This was just the meaning intelligent stretching referred to. This article described the origin of the concept of intelligent stretching and its definition, operational principle, and superiority and weakness, as well as its application in ankle joint spasticity and contracture in patients with stroke and cerebral palsy.