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題 名 | 間歇性機械牽拉對膝關節伸直攣縮之療效 |
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作 者 | 陳昭瑩; 李武波; 蘇燕鳳; | 書刊名 | 中華民國物理治療學會雜誌 |
卷 期 | 18:1 1993.03[民82.03] |
頁 次 | 頁58-63 |
分類號 | 418.92 |
關鍵詞 | 伸直; 牽拉; 間歇性; 膝關節; 機械; 攣縮; 膝關節; 關節攣縮; 物理治療; Knee; Contracture; Physical therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 在臨床工作上,為了節省人力,彰化秀傳紀念醫院復健科針對膝伸直攣 縮之病患,設計一套治療方法一利用臨床所使用之腰部牽引機械,施以間歇性被 動牽拉之治療,以增進病患之膝關節彎曲角度。從民國七十年七月到七十六年七 月間,共有22名膝伸直攣縮之病患,接受此間歇性機械治療。他們的平均年齡是 30.5±10歲,治療前平均角度為39.3±20度,平均接受治療時間為2.2±1.9個月, 治療結束時之平均角度為98.4±21.3度,治療後病人平均角度增加59.1±29.92度。 治療前膝關節角度等級,3名為良級、19名為差級:治療後膝關節角度等級進步為 優級2名、佳級14名、良級4名、差級2名。可看出病人之膝關節角度有明顯之進 步。本研究顯示,以間歇性機械牽拉治療膝關節攣縮是頗具療效之治療方法。作 者希望未來有更多臨床工作者,朝此方向研究,發展出對不同關節攣縮極其效益 之治療方法。(中華物療誌1993;18(1):58-63) |
英文摘要 | Prolonged immobilization of a jointresults restricted motion, especially the post-operational orthopaedic cases. Physical therapistsuse the manual passive stretching, hold-relaxproprioceptive neuromuscular facilitation andjoint mobilization techniques to improve therange of motion. All of the techniques are maniial therapy, taking the high cost of man power.From the cost-effective point of view, usingpulley or suspension system as passive continuous stretching therapy was applied on thesecases for years. Clinically, intolerable pain andinvoluntary contraction do occur during thetreatment and hinder the improvement. Forovercoming those disadvantages of therapy, theauthor took the electrical pelvic traction machine as the external force and provided a slow,smooth and intermittent passive stretching fromthe traction unit. From July 1981 to July 1987at SHM hospital, 22 cases were treated by thismethod for knee extension contracture in thisstudy. The mean age was 30.5±10 years old.The mean treatment duration was 2.2±1.9 months. Before treatment 3 patients were in fairgrade and 19 patients in poor grade accordingto range of motion of knee. After treatment, 2patients were in excellent grade, 14 patients ingood grade, 4 patients in fair grade and 2 patients in poor grade. The mean initial range ofmotion at the beginning of the treatment was39.3±20 degrees, the final range of motion was98.4± 21.3 degrees and the mean gain of rangeat the end of treatment was 59.1±29.9 degrees.Using a two-tailed paired t-test to examine theresults, and the difference was significant at the0.01 level. We found a significant differencebetween mean value of initial and final rangeof motion (p=0.000). The lesion sites, castingor not, and the time to receive physical therapyhad no significant effects on the results of treatment. This study provided a new appraoch tomanagement of knee extension contracture andit is also proved to be an effective, convenientand less man power choice in the clinics.(JPTA ROC 1993; 18(1): 58-63) |
本系統中英文摘要資訊取自各篇刊載內容。