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目的观察强制性运动疗法(CIMT)与改良强制性运动疗法(mCIMT)对脑卒中偏瘫患者手功能和日常生活能力的影响。方法 64例脑卒中偏瘫患者随机分为mCIMT组和CIMT组,治疗前、后分别采用简易上肢机能检查量表(STEF)和Barthel指数(BI)评价患者的上肢运动功能。结果治疗前2组患者STEF和BI中的10项评分差异均无统计学意义(P>0.05),治疗后组内评分比较,差异均有统计学意义(P<0.05);组间比较,STEF差异无统计学意义,BI差异有统计学意义(P<0.01)。结论 mCIMT在改善日常生活活动能力方面明显优于CIMT。
Objective To investigate the effects of forced exercise therapy (CIMT) and modified exercise therapy (mCIMT) on hand function and daily living ability in stroke patients with hemiplegia. Methods Sixty-four stroke patients with hemiplegia were randomly divided into mCIMT group and CIMT group. Before and after treatment, STEF and Barthel index (BI) were used to evaluate the motor function of the upper limbs. Results There were no significant differences in the scores of STEF and BI between the two groups before treatment (P> 0.05), but there was significant difference between the two groups after treatment (P <0.05). The STEF The difference was not statistically significant, BI difference was statistically significant (P <0.01). Conclusion mCIMT is significantly better than CIMT in improving the activities of daily living.