Purpose: To develop a continuous passive motion (CPM) device for the passive motion of the paretic ankle-foot and investigate the effect of continuous passive motion of bedridden, hemiparetic acute stroke patients. Me...Purpose: To develop a continuous passive motion (CPM) device for the passive motion of the paretic ankle-foot and investigate the effect of continuous passive motion of bedridden, hemiparetic acute stroke patients. Methods: 49 patients with stroke were investigated. Results in stroke patients (device group) were compared with those of 15 control subjects (manual group) also with stroke but not treated by device. The period of the treatment was 7 days;the duration was 30 minutes per day by CPM device in the device group. The efficacy of the device was evaluated by scales used in the clinical routine (6th item of National Institutes of Health Stroke Scale (NIHSS), Modified Ashworth Scale (MAS), modified Rankin Scale (mRS)). Ankle’s passive range of motion (PROM) and flexible equinovalgus deformitiy were measured every day with a goniometer. Results: 6th item of NIHSS score improved by -0.76 (SD = 0.56) points in the device group (p < 0.001) compared to the baseline values;the mean change in the manual group was -0.33 (SD = 0.62) points (p = 0.055). The mean of MAS decreased significantly by -0.53 (SD = 1.12) point in the device group (p < 0.001). The ankle’s mean plantar flexion PROM increased by 3.41 (SD = 5.19) degrees in the device group (p < 0.001). Significant improvement of the mean dorsiflexion in the PROM of the ankle was also detected (p = 0.019). The equinovalgus improved significantly by -5.12 (SD = 8.02) degrees (p < 0.001) in the device group. The scores of the mRS also improved significantly in the device group (p < 0.001). Conclusion: In the early phase of rehabilitation, ankle-foot continuous passive motion device treatment combined with manual therapy improved the ankle’s PROM better than manual therapy alone;in addition, device treatment decreased the foot’s equinovalgus, improved the 6th item NIHSS score, and decreased the severity of spasticity.展开更多
ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measure...ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measured 1 h before,during and after CPM on the day and next day of the operation. ResultsThere was no significant difference in the drainage volume before,during and after CPM(P >0.05). ConclusionEarly application of CPM is safe for TKA patients.展开更多
目的观察运动疗法联合持续被动活动(continuous passive motion,CPM)对膝关节周围骨折术后功能康复的临床效果。方法选取2016年11月—2018年11月收治的行手术治疗的膝关节周围骨折101例作为研究对象,按照术后治疗方法的不同,分为对照组(...目的观察运动疗法联合持续被动活动(continuous passive motion,CPM)对膝关节周围骨折术后功能康复的临床效果。方法选取2016年11月—2018年11月收治的行手术治疗的膝关节周围骨折101例作为研究对象,按照术后治疗方法的不同,分为对照组(n=52)与观察组(n=49)。两组均予骨关节CPM治疗,在此基础上,观察组联合运动疗法。评估两组术前与术后3个月膝关节功能改善情况、膝关节临床症状、膝关节活动情况,比较两组术前与术后10 d炎性因子相关指标变化,记录两组术后3个月的临床疗效。结果与对照组比较,观察组术后3个月特种外科医院评分、膝关节活动度评分升高,疼痛、肿胀、淤斑与乏力评分、膝关节伸直缺失程度与膝关节稳定度评分均降低,差异有统计学意义(P<0.01);与本组术前比较,两组术后3个月特种外科医院评分、膝关节活动度评分升高,疼痛、肿胀、淤斑与乏力评分、膝关节伸直缺失程度与膝关节稳定度评分下降,差异有统计学意义(P<0.01)。与对照组比较,观察组术后10 d C-反应蛋白、红细胞沉降率、肿瘤坏死因子-α水平下降,差异有统计学意义(P<0.01);与本组术前比较,两组术后10 d C-反应蛋白水平降低,红细胞沉降率、肿瘤坏死因子-α水平升高,差异有统计学意义(P<0.01)。对照组、观察组治疗总有效率分别为75.00%、91.84%,比较差异有统计学意义(P=0.043)。结论运动疗法配合CPM治疗可以促进膝关节周围骨折术后患者的功能康复,改善临床症状,提高治疗效果。展开更多
文摘Purpose: To develop a continuous passive motion (CPM) device for the passive motion of the paretic ankle-foot and investigate the effect of continuous passive motion of bedridden, hemiparetic acute stroke patients. Methods: 49 patients with stroke were investigated. Results in stroke patients (device group) were compared with those of 15 control subjects (manual group) also with stroke but not treated by device. The period of the treatment was 7 days;the duration was 30 minutes per day by CPM device in the device group. The efficacy of the device was evaluated by scales used in the clinical routine (6th item of National Institutes of Health Stroke Scale (NIHSS), Modified Ashworth Scale (MAS), modified Rankin Scale (mRS)). Ankle’s passive range of motion (PROM) and flexible equinovalgus deformitiy were measured every day with a goniometer. Results: 6th item of NIHSS score improved by -0.76 (SD = 0.56) points in the device group (p < 0.001) compared to the baseline values;the mean change in the manual group was -0.33 (SD = 0.62) points (p = 0.055). The mean of MAS decreased significantly by -0.53 (SD = 1.12) point in the device group (p < 0.001). The ankle’s mean plantar flexion PROM increased by 3.41 (SD = 5.19) degrees in the device group (p < 0.001). Significant improvement of the mean dorsiflexion in the PROM of the ankle was also detected (p = 0.019). The equinovalgus improved significantly by -5.12 (SD = 8.02) degrees (p < 0.001) in the device group. The scores of the mRS also improved significantly in the device group (p < 0.001). Conclusion: In the early phase of rehabilitation, ankle-foot continuous passive motion device treatment combined with manual therapy improved the ankle’s PROM better than manual therapy alone;in addition, device treatment decreased the foot’s equinovalgus, improved the 6th item NIHSS score, and decreased the severity of spasticity.
文摘ObjectiveThis research aimed to study the effect of early application of continuous passive motion (CPM) on the drainage volume of knee joints post total knee arthroplasty (TKA). MethodsThe drainage volume was measured 1 h before,during and after CPM on the day and next day of the operation. ResultsThere was no significant difference in the drainage volume before,during and after CPM(P >0.05). ConclusionEarly application of CPM is safe for TKA patients.
文摘目的观察运动疗法联合持续被动活动(continuous passive motion,CPM)对膝关节周围骨折术后功能康复的临床效果。方法选取2016年11月—2018年11月收治的行手术治疗的膝关节周围骨折101例作为研究对象,按照术后治疗方法的不同,分为对照组(n=52)与观察组(n=49)。两组均予骨关节CPM治疗,在此基础上,观察组联合运动疗法。评估两组术前与术后3个月膝关节功能改善情况、膝关节临床症状、膝关节活动情况,比较两组术前与术后10 d炎性因子相关指标变化,记录两组术后3个月的临床疗效。结果与对照组比较,观察组术后3个月特种外科医院评分、膝关节活动度评分升高,疼痛、肿胀、淤斑与乏力评分、膝关节伸直缺失程度与膝关节稳定度评分均降低,差异有统计学意义(P<0.01);与本组术前比较,两组术后3个月特种外科医院评分、膝关节活动度评分升高,疼痛、肿胀、淤斑与乏力评分、膝关节伸直缺失程度与膝关节稳定度评分下降,差异有统计学意义(P<0.01)。与对照组比较,观察组术后10 d C-反应蛋白、红细胞沉降率、肿瘤坏死因子-α水平下降,差异有统计学意义(P<0.01);与本组术前比较,两组术后10 d C-反应蛋白水平降低,红细胞沉降率、肿瘤坏死因子-α水平升高,差异有统计学意义(P<0.01)。对照组、观察组治疗总有效率分别为75.00%、91.84%,比较差异有统计学意义(P=0.043)。结论运动疗法配合CPM治疗可以促进膝关节周围骨折术后患者的功能康复,改善临床症状,提高治疗效果。
