摘要
目的探究镜像疗法配合悬吊运动训练治疗急性脑梗死后偏瘫对患者神经功能、上肢运动功能恢复的影响。方法选择徐州市中心医院于2020年4月—2023年4月收治的80例急性脑梗死后偏瘫患者为研究对象,按随机数字表法分为对照组和观察组,各40例。对照组采用悬吊运动训练治疗,观察组在对照组治疗的基础上增加镜像疗法治疗,两组治疗时间均为1个月。比较两组患者的生活质量、神经功能及上肢运动功能评分。结果治疗后,观察组患者的美国国立卫生研究院脑卒中量表评分低于对照组,功能独立性评定量表、Fugl-Meyer运动功能评分量表及简明健康状况量表评分均高于对照组,组间差异有统计学意义(P<0.05)。观察组患侧手腕主动活动范围为(17.42±4.12)°,大于对照组的(12.05±3.76)°,差异有统计学意义(P<0.05)。结论镜像疗法配合悬吊运动训练治疗急性脑梗死后偏瘫患者的效果显著,有助于患者上肢运动功能以及神经功能的恢复,改善患者生活质量。
Objective Explore the impact of mirror therapy combined with suspension exercise training on the recovery of neurological function and upper limb motor function in patients with hemiplegia after acute cerebral infarction.Methods 80 patients with hemiplegia after acute cerebral infarction admitted to the Xuzhou Central Hospital from April 2020 to April 2023 were selected as the study objects,and were divided into a control group and an observation group according to random number table method,with 40 cases in each group.The control group was treated with suspension exercise training,and the observation group was treated with mirror therapy on the basis of the control group.The treatment time of both groups was 1 months.The quality of life,nerve function and upper limb motor function scores were compared between the two groups.Results After treatment,the scores of the National Institutes of Health Stroke Scale in the observation group were lower than those in the control group,the scores of the Functional independence Rating Scale,the Fugl-Meyer Motor Function Scale and the Brief Health Status Scale were higher than those in the control group,the differences between groups were statistically significant(P<0.05).The active motion range of the wrist on the affected side in the observation group was(17.42±4.12)°,which was higher than(12.05±3.76)°of the control group,with statistical significance(P<0.05).Conclusion Mirror therapy combined with suspension exercise training has a significant effect on the treatment of hemiplegia patients after acute cerebral infarction,which helps to restore upper limb motor function and neurological function,and improves the quality of life of patients.
作者
张秀芳
张莉
李宁
岑蒙蒙
周敬杰
ZHANG Xiufang;ZHANG Li;Li Ning;CEN Mengmeng;ZHOU Jingjie(Department of Rehabilitation Medicine,Xuzhou Central Hospital(Xuzhou Clinical College,Xuzhou Medical University),Xuzhou Jiangsu,221000,China;Department of Rehabilitation,Xuzhou Rehabilitation Hospital(Xuzhou Rehabilitation Hospital Affiliated to Xuzhou Medical University),Xuzhou Jiangsu,221000,China)
出处
《反射疗法与康复医学》
2023年第19期80-83,共4页
Reflexology And Rehabilitation Medicine
基金
彭城英才—医学青年后备人才培养项目(XWRCHT20220007)。
关键词
急性脑梗死后偏瘫
悬吊运动训练
镜像疗法
神经功能
上肢运动功能
Hemiplegia after acute cerebral infarction
Suspension exercise training
Mirror therapy
Neurological function
Upper limb motor function
