连续重复被动和主动运动对偏瘫患者膝关节位置觉的影响。

Effect of continuing repeated passive and active exercises on knee's position senses in patients with hemiplegia.

机构信息

Department of Physical Therapy, College of Health and Welfare, Sahmyook University, Seoul, Republic of Korea.

出版信息

NeuroRehabilitation. 2013;33(3):391-7. doi: 10.3233/NRE-130969.

DOI:10.3233/NRE-130969

PMID:23949071

Abstract

OBJECTIVE

To determine the repeated passive movement (RPM) and repeated active movement (RAM) exercise on position sense of the knee joint in patients with hemiplegia.

METHODS

45 hemiplegia patients were randomly allocated to either the control group(no exercise), RPM group, or RAM group, with 15 subjects in each group. The exercise was repeated 60 times on the angle 10 to 100 degrees of the knee joint with an angle speed of 120°/s, with three sets for 15 minutes. Evaluation was performed using Passive Angle Repositioning (PAR) and Active Angle Repositioning (AAR).

RESULTS

Error of positioning sense showed a decrease in PAR and AAR in the RPM group (p < 0.01) and an increase in AAR was observed in the RAM group (p < 0.05). In comparison of knee joint position sense error value and rate of change among the three groups, the RPM group is decreased mostly in PAR and AAR (p < 0.01), and Error value (p < 0.05) and rate of change (p < 0.01) of the RAM group showed a greater increase in AAR than the control group.

CONCLUSION

RAM exercise can support an increase in proprioception on the knee joint of hemiplegia; however, RAM exercise that causes fatigue can decrease proprioception.

摘要

目的

确定重复被动运动（RPM）和重复主动运动（RAM）对偏瘫患者膝关节位置感的影响。

方法

将 45 例偏瘫患者随机分为对照组（无运动）、RPM 组或 RAM 组，每组 15 例。膝关节角度在 10 度到 100 度之间，以 120°/s 的角速度重复运动 60 次，每组 3 组，每组 15 分钟。使用被动角度重定位（PAR）和主动角度重定位（AAR）进行评估。

结果

定位感误差显示 RPM 组的 PAR 和 AAR 减少（p < 0.01），RAM 组的 AAR 增加（p < 0.05）。与三组膝关节位置感误差值和变化率比较，RPM 组的 PAR 和 AAR 减少最多（p < 0.01），而 RAM 组的 AAR 误差值（p < 0.05）和变化率（p < 0.01）比对照组增加更大。