【摘要】 目的观察持续被动运动(continuous passive motion,CPM)在改善截瘫患者踝关节屈伸功能和减轻骨质疏松的效果。方法将60例截瘫患者随机分为CPM组32例和对照组28例,CPM组应用CPM,对照组应用人工手法被动运动。比较治疗前后两组患者踝关节被动屈伸活动范围和骨密度的差异。结果治疗后CPM组患者踝关节活动度和骨密度优于对照组(均P<0.01)。结论 CPM可改善截瘫患者踝关节屈伸功能,减轻骨质疏松的发生。更多还原

【Abstract】 Objective To investigate the effect of continuous passive motion(CPM) on ankle joint dysfunction and osteoporosis of patients with paraplegia.Methods 60 patients with paraplegia were divided randomly into CPM group(n = 32) and control group(n = 28).The CPM group received therapy of continuous passive motion,and the control group only underwent therapy of routine rehabilitation.Their ankle joint passive ranges of motion(PROM) and bone mineral density(BMD) before and after rehabilitation were assessed and compared.Results After staying in bed for some time,both CPM group and control group developed ankle joint motion limitation and osteoporosis to a certain degree(P < 0.05).But the dysfunction of ankle joint motion range and reduction of BMD in CPM group was greatly smaller than that in the control group(P < 0.05).Conclusion CPM can significantly improve ankle joint dysfunction and osteoporosis of patients with paraplegia.更多还原