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人体肩关节运动功能康复评估研究

Research on rehabilitation assessment of movement function in human shoulder joint

作者: 潘国新  陶春静 
单位:国家康复辅具研究中心辅具与专用设备研究部(北京100176)
关键词: 肩关节;外展活动度;偏瘫;运动功能;康复评估;评价方法 
分类号:R318;R493
出版年·卷·期(页码):2016·35·1(58-63)
摘要:

目的 针对上肢运动功能障碍患者康复治疗中,常规康复评价方法繁琐费时的问题,探讨人体肩关节运动功能康复评价的新方法。方法 选取20名健康志愿者,利用上肢多关节复合运动训练系统(multi-joint system,MJS)进行上肢运动功能评价实验,并对肩关节运动功能评价参数进行统计。选取在临床进行康复治疗的20例偏瘫患者作为常规评价组,采用上肢Fugl-Meyer评分(Fugl-Meyer assessment,FMA)评定患者的上肢运动功能,并对上肢运动功能评分的参数数据进行统计分析。结果 在健康人MJS运动功能评价实验中,经参数间的相关性分析,统计无显著意义(P >0.05)。在多元逐步回归分析时,只引进了水平外展活动度,差异有统计学意义(P <0.05)。在对偏瘫患者上肢运动功能的评估数据分析中,在多元逐步回归分析时,只引进了水平外展活动度,差异有统计学意义(P <0.05)。结论 肩关节外展活动度对肩关节运动评估等级划分和上肢FMA评分影响最大。

Objective Due to the problem of tedious and time-consuming routine evaluation in rehabilitation training,this research discussed the new method of evaluating the movement function of human shoulder joint for hemiplegic patients.Methods Twenty healthy volunteers were chosen as the multi-joint system (MJS) experiment group. Then the MJS experiment of human upper limb was designed and carried out,and the evaluation data was analyzed. Furthermore,20 hemiplegic patients who were evaluated by routine methods were chosen as the routine group. All of the patients were assessed with the Fugl-Meyer assessment (FMA) for upper limb. Meanwhile the data and the characteristics of the movement evaluation for upper limb were analyzed. Results The correlation analysis showed no difference on the characteristics of evaluating the shoulder joint movement of healthy persons (P>0.05). Multiple regression analysis showed that horizontal abduction angle was introduced,with a statistically significant difference (P <0.05). To the data analysis on evaluating the upper limb movement function of hemiplegic patients,Multiple regression analysis showed that abduction angle was introduced,with a statistically significant difference (P<0.05). Conclusions The abduction angle of shoulder joint has the biggest impact on the assessment level and the FMA score of the movement function in shoulder joint. 

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