6个月定期被动运动对脊髓损伤患者踝关节活动度的影响：一项随机对照试验。
Effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury: a randomized controlled trial.
作者信息
Harvey L A, Herbert R D, Glinsky J, Moseley A M, Bowden J
机构信息
The University of Sydney, Sydney, New South Wales, Australia.
出版信息
Spinal Cord. 2009 Jan;47(1):62-6. doi: 10.1038/sc.2008.71. Epub 2008 Jun 24.
STUDY DESIGN
Assessor-blinded within-subject randomized controlled trial.
OBJECTIVE
To determine the effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury.
SETTING
Community, Australia.
METHODS
A total of 20 people with tetraplegia living in the community had one ankle randomized to a control group and the other to an experimental group. Carers administered passive movements to participants' experimental ankles for 10 min, 10 times a week for 6 months. The control ankles were left untreated. The primary outcome was passive ankle dorsiflexion range of motion.
RESULTS
Adherence was high (mean adherence rate of 96%). Ankle dorsiflexion range of motion decreased by a mean (s.d.) of 2 degrees (4) in control ankles and increased by 2 degrees (4) in experimental ankles. The mean (95% confidence interval, CI) effect on ankle dorsiflexion range of motion was 4 degrees (95% CI, 2-6 degrees ).
CONCLUSION
Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.
研究设计
评估者盲法受试者内随机对照试验。
目的
确定6个月定期被动运动对脊髓损伤患者踝关节活动度的影响。
地点
澳大利亚社区。
方法
共有20名居住在社区的四肢瘫痪患者，一只脚踝随机分配至对照组，另一只脚踝随机分配至实验组。护理人员对参与者的实验脚踝进行10分钟的被动运动，每周10次，共6个月。对照脚踝不进行处理。主要结局是被动踝关节背屈活动范围。
结果
依从性高（平均依从率为96%）。对照脚踝的踝关节背屈活动范围平均（标准差）下降2度（4），实验脚踝的踝关节背屈活动范围增加2度（4）。对踝关节背屈活动范围的平均（95%置信区间，CI）效应为4度（95%CI，2 - 6度）。
结论
定期被动运动对踝关节活动度影响较小。这些影响在临床上是否值得尚不清楚。
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