Rehabilitation effect of intelligent ankle stretching on lower extremity spasm in patients with spinal cord injury:a randomized controlled trial
10.3969/j.issn.1006-9771.2024.10.009
- VernacularTitle:踝关节智能牵伸对脊髓损伤患者下肢痉挛效果的随机对照试验
- Author:
Mingming GAO
1
,
2
;
Xiaoping YUN
;
Shuyu ZHAO
;
Ran XIN
;
Guiyun SONG
;
Yang ZHAO
Author Information
1. 首都医科大学康复医学院,北京市 100068
2. 中国康复研究中心北京博爱医院康复评定科,北京市 100068
- Keywords:
spinal cord injury;
lower limb rehabilitation robot;
spasm;
randomized controlled trial
- From:
Chinese Journal of Rehabilitation Theory and Practice
2024;30(10):1187-1192
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of intelligent flexible ankle stretching training on lower extremity spasm in patients with spinal cord injury. Methods From June,2021 to May,2024,28 patients with spinal cord injury were randomly divided into control group(n=14)and experimental group(n=14).Both groups received conventional rehabilitation treatment.On this ba-sis,the control group received manual extension treatment,and the experimental group received intelligent flexi-ble ankle stretching system training,for eight weeks.The modified Ashworth Scale(MAS),ankle dorsiflexion an-gle,Clinical Spasticity Index(CSI),max root mean square(RMSmax)of surface electromyography of gastrocne-mius medial head and vibration perception threshold(VPT)of great toe were compared. Results After treatment,MAS(χ2=10.378,P=0.035),ankle dorsiflexion angle(Z=-3.306,P<0.001),CSI(t=4.101,P=0.001)and RMSmax of gastrocnemius medial head(Z=-3.296,P<0.001)improved in the experimental group,while MAS(χ2=11.418,P=0.022),ankle dorsiflexion angle(Z=-1.986,P=0.047)and RMSmax of gas-trocnemius medial head(Z=-2.297,P=0.021)were better in the experimental group than in the control group.Although VPT was improved after treatment,no significant difference was found within and beteen groups(P>0.05). Conclusion The intelligent flexible ankle stretching training could improve the lower limb muscle spasticity in patients with spinal cord injury,and may be benefit for foot proprioception.
