医学训练式治疗对烧伤患者下肢肌肉功能及步行能力的影响

目的:观察医学训练式治疗(MTT)对康复期特重度烧伤患者下肢肌肉功能及步行能力的影响。方法:康复期特重度烧伤患者59例,随机分为MTT组30例和对照组29例,所有患者均进行综合康复治疗,MTT组另外接受下肢MTT训练。治疗前后分别进行下肢肌肉等速测试及步行能力测试。结果:治疗6周后,2组双侧伸、屈膝肌的力矩峰值、总功量和平均功率及6-min步行距离均较治疗前显著增大(P0.01),且MTT组更高于对照组(P0.01,0.05);治疗后,2组10-m步行测试所用时间均较治疗前显著减少(P0.01),2组间比较差异无统计学意义。结论:MTT能有效改善康复期特重度烧伤患者下肢肌肉功能及步行能力。

Effects of medical training therapy on lower extremity muscles function and ambulation in patients with burn

Objective: To explore the effects of medical training therapy (MTT) on lower extremity muscles function and ambulation in patients with extremely severe burn in the convalescence stage. Methods: Fifty-nine patients with extremely severe burn in the convalescence stage were assigned randomly to MTT group and control group. Both groups received comprehensive rehabilitation treatment. In addition, MTT group received MTT treatment. The isokinetic muscle test for lower extremities and ambulation ability were assessed at baseline and after interventions. Results: After 6 weeks of treatment, the peak torque, total work and average power of knee extensor and flexor of bilateral lower extremities, and 6-min walking distance in both groups were increased significantly as compared with baseline assessment (P<0.01), more significantly in MTT group than in control group (P<0.01, 0.05). After treatment, the time used in 10-m walking test in both groups was significantly reduced (P<0.01), and there was no significant difference between two groups. Conclusions: MTT can effectively improve lower extremity muscles function and ambulation in patients in the convalescence stage of extremely severe burn.