摘要
目的:研究MOTOmed运动训练干预对胸腰段脊髓损伤患者运动功能和生活独立性的影响.方法:选取2019年10月-2021年2月我院收治的120例胸腰段脊髓损伤患者,应用电脑随机法分为观察组(60例)与对照组(60例).对照组患者应用传统康复训练进行干预,观察组在此基础上应用MOTOmed训练进行干预,比较2组患者的关节活动度(ROM)、美国脊髓损伤学会(ASIA)运动评分、徒手法肌力检查(MMT)评分以及功能独立性测量(FIM)评分、焦虑自评量表(SAS)和抑郁自评量表(SDS)评分.结果:干预后,2组患者的髋关节和膝关节主动ROM均大于干预前,且观察组患者的髋关节和膝关节主动ROM大于对照组,差异有统计学意义(P<0.05).干预后,2组患者的FIM及ASIA评分均高于干预前,且观察组患者的FIM评分及ASIA评分高于对照组,差异有统计学意义(P<0.05).干预2个疗程后,2组患者的MMT评分高于干预前,且观察组患者的MMT评分高于对照组,差异有统计学意义(P<0.05);干预4个疗程后,2组患者的MMT评分高于干预前,且观察组患者的MMT评分明显高于对照组,差异有统计学意义(P<0.05).干预后,2组患者的SAS及SDS评分均低于干预前,且观察组患者的SAS及SDS评分低于对照组,差异有统计学意义(P<0.05).结论:胸腰段脊髓损伤患者在常规训练的基础上加以MOTOmed运动训练可以有效改善其运动功能和生活独立性,值得在临床中推广应用.
Objective:To study the influence of MOTOmed exercise training intervention on motor function and independence of life in patients with thoracolumbar spinal cord injury.Methods:A total of 120 patients with thoracolumbar spinal cord injury admitted to our hospital from October 2019 to February 2021 were selected and divided into the observation group(60 cases)and the control group(60 cases)by computer randomized method.The control group was treated with traditional rehabilitation training,while the observation group was treated with MOTOmed training.Joint range of motion(ROM),American Spinal Injury Association(ASIA)motor score,Manual Muscle Test(MMT)score,Functional Independence Measure(FIM)score,Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)score were compared between the two groups.Results:After intervention,the hip and knee active ROM in the two groups were greater than those before intervention,and the hip and knee active ROM in the observation group were greater than those in the control group,the differences were statistically significant(P<0.05).After intervention,the scores of FIM and ASIA in the two groups were higher than those before intervention,and the scores of FIM and ASIA in the observation group were higher than those in the control group,with statistical significance(P<0.05).After 2 courses of intervention,the MMT score of the two groups were higher than those before intervention,and the MMT score of the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).After 4 courses of intervention,the MMT score of the two groups was higher than that before intervention,and the MMT score of the observation group was significantly higher than that of the control group,with statistical significance(P<0.05).After intervention,the SAS and SDS scores of the two groups were lower than those before intervention,and the SAS and SDS scores of the observation group were lower than those of the control group,the differences were statisti
作者
侯铁东
HoU Tiedong(Department of spinal cord Injury rehabilitation,Dalian port hospital,Dalian,Liaoning 116000)
出处
《中国伤残医学》
2024年第6期68-71,80,共5页
Chinese Journal of Trauma and Disability Medicine
