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題 名 | 功能性電刺激治療中風裸關節背屈肌肉群之效應 |
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作 者 | 張梅蘭; 徐道昌; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 13 1988.09[民77.09] |
頁 次 | 頁41-46 |
分類號 | 416.29 |
關鍵詞 | 中風; 功能性電刺激; 背屈肌肉群裸關節; 治療; |
語 文 | 中文(Chinese) |
中文摘要 | 近年來,有關功能性電刺激的研究頗多,本研究之主要目的乃在於測定 功能性電刺激對於中風發病半年內之病患其踝關節背屈肌肉群之治療效果,以及 對於中風患者感覺運動功能之影響。作者共收集九十位中風病患,並隨機分派為 三組。A組是控制組,接受傳統物理治療;B組除傳統物理治療外,並於患側踝關 節背屈肌給予功能性電刺激治療;C組除傳統物理治療外,並在雙側踝關節背屈肌 交互使用功能性電刺激治療。治療方式採用平躺,髖關節前屈30°,膝關節伸直, 治療15分鐘;然後,下肢呈正中姿勢再治療15分鐘。每位患者於治療前及結束治 療時各評估一次,評估項目包括感覺功能(溫痛覺及本體感受覺)、踝關節活動能 力、功能狀況。結果顯示:每組治療前後,經Pairedt-test,皆有顯著進步;而以BMDP 3S Kruskal Wallis test檢定三組間之差異,發現踝關節之活動能力C組之積分顯著 高於A組(P<0.05) 因此,建議中風患者初期之治療,除傳統之物理治療外,交互 式功能性電刺激踝關節背屈肌肉群,應可達到更佳之治療效果。 |
英文摘要 | functional Electrical Stimulation (F.E.S.)for spasticity Control in Clinical Studies arenumerous. The purposes of this study were toexamine the effectiveness of F.E.S for Initiatingand normalizing the ankle dorsiflexors muscletone in stroke patients during the first 6 monthspost onset and for evaluating the correlationbetween F.E.S and proprioceptive sensation improvement. Ninety stroke patients were randomlydivided Into three groups. Group A was thecontrol group receiving the regular physicaltherapy. In group B, F.E.S was applied ondorsiflexors of the affected side only while thepatient was supine, first for 15 minutes with hipat 30° flexion, knee extension and then 15 minutes in neutral position. In group C, F.E.S wasapplied similarly but on both sides reciprocally. Each patient's dorsiflexor muscle conditions wereevaluated at the beginning and at the end of thecourse of treatment. Some patients experiencedrather sudden return of voluntary ankle movements after only a few F.E.S applications. Theresults showed that the ankle motion scores ofgroup C were significantly higher than those ofgroup A (p<0.05 using BMDP 3S Kruskal-Wallistest). No significant differences in proprioceptiveimprovement were noted among three groups. It is suggested that the reciprocal stimulation application of F.E.S be considered for inclusion as a regular part of treatment for strokepatients In the initial stage, to stimulate anklemotion, to maintain walking pattern while thepatient is bed ridden and to counter synergy. |
本系統中英文摘要資訊取自各篇刊載內容。