摘要
背景:运动疗法是治疗中枢神经系统损伤所致运动障碍的有效方法,错误的康复方法常常加重患者的异常运动模式。目的:探讨运动疗法对颅脑损伤患者运动能力和日常生活活动能力的影响。设计:以患者为研究对象,以诊断为依据,随机对照实验。单位:一所大学医院的康复科。对象:2001-09/2002-08对泸州医学院附属医院康复科住院治疗的颅脑损伤偏瘫患者78例进行研究。排除重度颅脑损伤,合并严重的理解能力障碍,严重的心、肺、肾脏疾病者。方法:将患者随机分为运动治疗组48例和对照组30例,两组均常规进行药物治疗及高压氧治疗,运动治疗组增加运动治疗。主要观察指标:两组患者治疗前后的Fugl-Meyer运动功能评分和修订的Barthel指数。结果:运动治疗组和对照组在年龄、性别、病程等方面差异无显著性意义。治疗组治疗前和治疗(40±3)d时Fugl-Meyer运动功能评分分别为40.43±21.78,68.35±23.39,修订的Barthel指数评分分别为32.82±17.40,78.84±25.31;对照组Fugl-Meyer运动功能评分分别为41.71±19.13,51.48±22.58,修订的Barthel指数评分分别为33.02±12.48,56.65±26.53。治疗前两组Fugl-Meyer运动功能和修订的Barthel指数评分比较差异无显著性意义。
BACKGROUND:Physical therapy is an effective treatment for movement disorder caused by central nerve system injury,while incorrect rehabilitative method will exacerbate the movement disorders in patients. OBJECTIVE:To investigate the effect of physical therapy on movement and daily activity of the patients suffering from brain injury. DESIGN:Randomized controlled study based on patients with a confirmative diagnosis. SETTING:Rehabilitation department in a university hospital. PARTICIPANTS:From September 2001 to August 2002,78 patients hospitalized in the Rehabilitation Department of the Hospital Affiliated to Luzhou Medical College,with hemiplegia caused by brain injury,were selected into this study.The patients with severe brain injury,severe understanding disability,and severe heart diseases, lung diseases and kidney diseases were excluded. METHODS:The eligible patients were divided into two groups:the physical therapy group(48 patients) and the control group(30 patients).All the patients in these two groups received medication and the hyperbaric oxygen therapy(HBOT),while the patients in the physical therapy group received an extra physical therapy. MAIN OUTCOMES MEASURES:A Fugl Meyer assessment(FMA) and a modified barthel index(MBI) were adopted to evaluate the pre and post treatment statuses of the patients in these two groups. RESULTS:No significant difference in age,sex and disease course between the physical therapy group and the control group was found. In the physical therapy group,the FMA scale before and after the therapy were 40.43±21.78 and 68.35±23.39,and the corresponding MBI scale were 32.82±17.40 and 78.84±25.31 respectively.In the control group,meanwhile,the FMA scales were 41.71±19.13 and 51.48±22.58,and the MBI scales were 33.02±12.48 and 56.65±26.53.Before the therapy,comparison of FMA and MBI between the two groups showed no significant difference.While after the therapy, significant difference of FMA and MBI between the two groups could be confirmed(t=2.14,2.21,P< 0.05). CONCLUSION:Physical therapy could apparently enhance the rehabilitation of movement ability in patients with brain injury.
出处
《中国临床康复》
CSCD
北大核心
2005年第13期162-163,共2页
Chinese Journal of Clinical Rehabilitation
