持续被动运动结合康复治疗对深度烧伤后肩关节屈曲功能障碍的临床疗效.pdfVIP

• 878 • 中国康复理论与实践 2008 年 9 月第 14 卷第 9 期 Chin J Rehabil Theory Pract. Sep. 2008. Vol. 14. Nι9 ·临床研究· 持续被动运动结合康复治疗对深度烧伤后肩关节屈曲功能障碍的临床疗效 张志杰，欧阳亚涛，王俊，刘四文 [摘要] 目的研究持续被动运动(CPM)和康复疗法改善深度烧伤后肩关节屈曲功能障碍的临床效果.方法 36 例上肢深度 烧伤(包括腋窝周围皮肤烧伤〉患者随机分为 CPM 组 19 例和对照组 17 例，对照组应用常规康复疗法.CPM 组应用常规康复疗法 和 CPM. 比较康复前后肩关节主动和被动屈曲关节活动范围(ROM). 结果 CPM 组和对照组治疗前后比校均有非常显著性差异 (PO. 01);康复后组间比较有显著性差异(P0.05). 结论加用 CPM 可以促进烧伤后肩关节屈曲功能的恢复. [关键词]持续被动运动(CPM) ，烧伤$肩关节s 屈曲F 康复 Erfects or ContinuoωPassive Motion 皿d Rebabilitatlon OD Flexion Or Sboulder after Inte田:Ive Bum ZHANGZhi-jie. OUYANG Ya- tao. WANG Jun. et al. Guangdong Province Work Injury Rehabilitation Hosþital. Guangzhou 510970. Guangdong. China Abstrad , Objective To investigate the effect of continuous passive motion (CPM) and rehabilitation on flexion of the shoulder after intensive bu m. Metb叫s 36 patients with intensive burn on upper limb (including the skin around axilla fossa) were divided randomly into CPM group (n = 19) and control group (n = 17). The CPM group received both routine rehabilitation and continuous passive motion tr国tment.and the control group only underwent routine rehabilitation treatment. Their ranges of active or passive mo tion were assessed. Results There was a significant improvement both in the CPM group and the control group after treatment (P 0.0日. but the CPM group improved more (PO. 0日. Concl回iOD CPM can improve the efficacy of the routine rehabilitation on flexion of the shoulder after intensive bum. Key wor也， continuous passive motion (CPM) ,bum; shoulder , flexion; rehabilitation [申圄分类号] R644 [文献标识码] A [文章编号] 1006-9771 (2008 )09-0878-02 [本文蕃录格式] 张志杰，欧阳亚涛，王俊，等.持续被动运动结合康复治疗对深度烧伤后肩关节屈曲功能障碍的临床疗效 [1].中国康复理论与实践.2008.14(9) ， 878-879. 关