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目的观察强制性运动疗法对脑卒中患者上肢功能的临床疗效,并与常规偏瘫肢体康复训练做对比分析。方法选择治疗组、对照组各40例,治疗组每天强化训练患侧上肢6 h,5 d/周,连续3周,同时使用吊带限制健侧上肢的活动。强制用手夹板或手套应在患者90%的清醒时间使用。对照组采用传统PT和OT等康复方法,每天训练患肢5 h,5 d/周,不限制健手的使用。结果两组按运动功能评定Fugl-Meyer(FMA)评分法,和日常生活评价(ADL)的Bar-thel(BI)评分法[1]评定,两组间各指标比较差异有统计学意义(P<0.05)。结论脑卒中早期常规康复治疗可改善脑卒中患者的患侧肢体功能,但强制性运动疗法能明显提高偏瘫患者上肢功能,提高日常生活能力,其疗效优于传统康复治疗方法。
Objective To observe the clinical curative effect of compulsive exercise therapy on upper extremity function of patients with stroke and to compare with conventional rehabilitation training of hemiplegia. Methods The treatment group and the control group were given 40 cases each. In the treatment group, the affected upper limbs were trained on the affected side for 6 hours and 5 days per week for 3 consecutive weeks. At the same time, the sling was used to limit the activities of contralateral upper limbs. Mandatory hand plywood or gloves should be 90% of patients awake use of time. The control group used traditional PT and OT rehabilitation methods to train the limbs for 5 h and 5 d / wk daily, which did not limit the use of healthy hand. Results The two groups were assessed by the Fg score and the Bar-thel (BI) score [1] of the daily life assessment (ADL). The differences between the two groups were statistically significant (P <0.05). Conclusions The routine rehabilitation treatment in the early stage of stroke can improve the function of affected limbs in patients with stroke. However, the compulsive exercise therapy can significantly improve the function of upper limbs and improve the daily living ability in patients with hemiplegia, which is superior to the traditional rehabilitation methods.