摘要
目的研究腕手矫形器配合爬行训练对脑卒中患者偏瘫上肢的临床疗效。方法42例脑卒中偏瘫患者随机分成2组:治疗组21例,配戴腕手矫形器进行爬行训练,配合常规康复训练;对照组21例,仅进行常规康复训练。评价指标采用Fugl-Meyer评价法(FMA)、Ashworth徒手测量法和Barthel指数法。每天1次,每次60 min,每周训练5次,共8周。每例患者均在治疗开始前和全部治疗结束后进行评定。结果2组对象在治疗开始前各项评价指标比较差异无统计学意义.训练8周后治疗组的运动功能、肌痉挛和日常生活活动能力均有明显改善,与对照组比较,差异有统计学意义(P<0.05)。结论腕手矫形器配合爬行训练治疗脑卒中偏瘫上肢比单纯常规康复训练具有更佳的疗效。
Objective To study the effect of crawling exercise with wrist-hand orthosis on the upper limb after stroke. Methods Forty-two stroke patients were divided randomly into an experimental group （ n = 21 ） and a control group （n = 21 ）. Both groups received routine therapy. Meanwhile the experimental group received crawling exercise with wrist-hand orthosis on the affected upper limb for 60 min once daily,5 days a week for 8 weeks. All the subjects were assessed by using the FMA test, the Ashworth scale and the Barthel index before and after treatment. Results There was no different between the two groups in the three tests before the treatment. After 6 weeks of treatment, significant different was found between the two groups with regard to the results of all the tests, with the experimental group better than the control group. Conclusion The crawling exercise with wrist-hand orthosis on is more effective than the routine therapy for the function of the upper limb in stroke patients.
出处
《中华物理医学与康复杂志》
CAS
CSCD
北大核心
2007年第5期331-333,共3页
Chinese Journal of Physical Medicine and Rehabilitation
关键词
脑卒中
腕手矫形器
爬行训练
偏瘫
Stroke
Wrist-hand orthosis
Crawling practice
Hemiplegia
