Effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury: a randomized controlled trial

被引：26

作者：

Harvey, L. A. ^{[1
]}

Herbert, R. D. ^{[2
]}

Glinsky, J. ^{[1
]}

Moseley, A. M. ^{[2
]}

Bowden, J. ^{[1
]}

机构：

[1] Univ Sydney, Fac Med, No Clin Sch, Rehabil Studies Unit, Sydney, NSW 2006, Australia

[2] George Inst Int Hlth, Musculoskeletal Div, Sydney, NSW, Australia

来源：

SPINAL CORD | 2009年 / 47卷 / 01期

基金：

澳大利亚国家健康与医学研究理事会;

关键词：

ankle; stiffness; spinal cord injury; rehabilitation; MODIFIED ASHWORTH SCALE; CONTRACTURE; RELIABILITY; DIFFERENCE; SPASTICITY; STRETCH; STROKE;

D O I：

10.1038/sc.2008.71

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study design: Assessor-blinded within-subject randomized controlled trial. Objective: To determine the effects of 6 months of regular passive movements on ankle joint mobility in people with spinal cord injury. Setting: Community, Australia. Methods: A total of 20 people with tetraplegia living in the community had one ankle randomized to a control group and the other to an experimental group. Carers administered passive movements to participants' experimental ankles for 10 min, 10 times a week for 6 months. The control ankles were left untreated. The primary outcome was passive ankle dorsiflexion range of motion. Results: Adherence was high (mean adherence rate of 96%). Ankle dorsiflexion range of motion decreased by a mean (s.d.) of 2 degrees (4) in control ankles and increased by 2 degrees (4) in experimental ankles. The mean (95% confidence interval, CI) effect on ankle dorsiflexion range of motion was 4 degrees (95% CI, 2-6 degrees). Conclusion: Regular passive movements have small effects on ankle joint mobility. It is unclear if these effects are clinically worthwhile.

引用

页码：62 / 66

页数：5

共 19 条

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