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急性脑卒中患者过早下肢负重与患肢伸肌痉挛及膝过伸的关系研究 被引量:20

Effect of Weight-bearing Too Early in Lower Limbs on Extensor Muscle Spasm and Knee Hyperextension of Affected Limb in Acute Stroke Patients with Hemiplegia
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摘要 目的:研究下肢过早负重对脑卒中偏瘫患者下肢功能的影响。方法:急性脑卒中患者80例,对全部患者的临床资料进行回顾性分析。结果:根据患者康复过程中的依从性,分为规范康复组和过早负重组,各40例,2组均接受康复治疗2个月,但过早负重组患者康复治疗期间过早下肢负重;治疗2个月后,过早负重组患者下肢出现伸肌痉挛及膝过伸的例数均高于规范康复组(P<0.05)。结论:过早下肢负重容易使脑卒中偏瘫患者下肢出现伸肌痉挛及膝过伸。 Objective: To investigate the effect of weight-bearing too early in the lower limbs on extensor muscle spasm and knee hyperextension of affected limbs in acute stroke patients with hemiplegia. Methods: Eighty acute stroke patients with hemiplegia were recruited and the clinical data was analyzed. Results: All the cases were divided into control and weight-bearing groups according to their compliance in rehabilitation training. All the cases were given canonical rehabilitation program for 2 months, and the cases in the weight-bearing group started weight- bearing too early. Results: The number of cases with extensor muscle spasm and knee hyperex- tension of affected limbs in the weight-bearing group was higher than that in the control group (P〈0.05) after 2 months of treatment. Conclusion: Weight-bearing too early could increase the risk of extensor muscle spasm and knee hyperextension in acute Stroke patients with hemiplegia.
出处 《神经损伤与功能重建》 2012年第6期433-435,共3页 Neural Injury and Functional Reconstruction
关键词 康复 下肢 过早负重 脑卒中 偏瘫 rehabilitation lower limb weight-bearing too early stroke hemiplegia
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