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朱 燕,房 敏,严隽陶,张 宏,齐 瑞,张广渊.原发性骨质疏松症患者的腰屈伸等速肌力评定[J].中国康复医学杂志,2008,23(9):792~793
原发性骨质疏松症患者的腰屈伸等速肌力评定    点此下载全文
朱 燕  房 敏  严隽陶  张 宏  齐 瑞  张广渊
上海中医药大学附属上海市中医医院康复医学科,200437
基金项目:国家中医药管理局“十一五”重点专科(专病)项目(09J1X1L221K217)
DOI:
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摘要:
      目的:探讨原发性骨质疏松症患者的腰屈伸力学改变,为进一步康复运动疗法奠定基础。方法:由同一个测试人员对30例健康对照组、30例原发性骨质疏松症患者进行腰屈伸的等速肌力测试,对腰屈伸的PT、PT/BW、AP及TW等数值进行分析。结果:原发性骨质疏松症组的PT、PT/BW、AP及TW均明显低于健康对照组(P<0.05);而TPT和F/E均高于健康对照组(P<0.05)。结论:原发性骨质疏松症患者的腰屈伸肌力的生物力学改变明确,康复训练计划应针对相应的力学改变特征有针对性地进行制定。
关键词:骨质疏松  等速测试  腰屈伸
Isokinetic evaluation on lumbar flexors and extensors in patients with primary osteoporosis    Download Fulltext
Dept. of Rehabilitation, Yueyang Hospital of Integrated Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai, 200437
Fund Project:
Abstract:
      Objective:To study the muscle strength of lumbar flexors and extensors in patients with primary osteoporosis, in order to gain the reasonable rehabilitation training programs. Method: Thirty volunteers and 30 patients with primary osteoporosis (POP) have been evaluated at two angular velocities (60°/s and 90°/s) in lumbar concentric contractions modes by the same therapist. The peak torque(PT), peak torque to body weight(PT/BW),range of motion(ROM), average power(AP), total work(TW), time to peak torque(TPT), and flexion to extension(F/E) were analyzed. Result: The PT、PT/BW、AP and TW in POP group decreased significantly comparing with healthy group(P<0.05). The TPT and F/E in POP group were higher than that in healthy group(P<0.05).Conclusion: Rehabilitation treatment should be given according to the biomechanical changes of umbar flexors and extensors in primary osteoporosis patients.
Keywords:osteoporosis  isokinetic evaluation  lumbar flexors and extensors exercises
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