摘要
目的观察改良强制性运动疗法和强制性运动疗法对脑卒中偏瘫患者手功能和日常生活能力的影响。方法选取58例符合入选标准的脑卒中偏瘫患者,随机分为改良组(27例)和强制组(31例)。强制组和改良组采用限制健侧肢体动作,在治疗期间要求患者穿戴吊带和夹板,每天清醒时固定时间不少于90%,强制组每日6 h,每周训练5d,连续2周;改良组在治疗环境中进行,每日2 h,每周3次,其它时间在日常生活活动中进行训练,连续10周。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。结果两组患者在治疗前,STEF和Barthel指数中的10项评分差异均无统计学意义(P>0.05)。经过治疗后,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(P>0.05),BI差异有统计学意义(P<0.01)。结论改良强制性运动疗法和强制性运动疗法可以有效提高偏瘫患者上肢的灵活性和运动速度。改良强制性运动疗法在改善日常生活活动能力方面明显优于强制性运动疗法。
Objective To study the influence of modified constraint-induced movement therapy（mCIMT）and constraint-induced movement therapy（CIMT） on rehabilitation of hand function and ability of daily living in patients with stroke.Methods Fifty-eight patients with stroke were randomly divided into mCIMT group（n=27） and CIMT group（n=31）.The movement of unimpaired extremities in patients of CIMT group and mCIMT group had been restricted by placing them in slings for 90% waking hours in a whole day for training.Patients in CIMT treatment group were exercised for 6 h/d,5 days a week for 2 weeks in a row,and patients in mCIMT group were exercised for 2 h/d,3 days a week,and they were also exercised in daily living at least 2 hours every day for ten consecutive weeks.All patients in these two groups were assessed by scale of STEF（Simple Test for Evaluating Hand Function）and Barthel index（BI） at respective time-points in pre-treatment and post-treatment periods.Results There was no significant difference in scores of 10 items in STEF scale and Barthel index before treatment（P 0.05）.The difference in scores of patients within the same group was statistically significant after treatment（P 0.05）.The difference in BI between these two groups was significant（P 0.01）except the difference in STEF（P 0.05）.Conclusion Treatment with mCIMT and CIMT can improve the flexibility and speed of movement of upper limbs in stroke patients,and mCIMT is much better than CIMT in improving activities of daily living.
出处
《临床和实验医学杂志》
2011年第6期404-406,共3页
Journal of Clinical and Experimental Medicine
关键词
脑卒中
偏瘫
改良强制性运动疗法
强制性运动疗法
手功能
日常生活能力
Stroke
Hemiplegia
Modified constraint-induced movement therapy（mCIMT）
Constraint-induced movement therapy（CIMT）
Hand function
Activities of daily living.
