摘要
目的:研究改良强制性运动疗法对脑卒中后下肢运动功能障碍的康复效果。方法:稳定型脑卒中偏瘫患者96例,随机分为强化组和对照组各48例,均在常规治疗基础上,强化组给予改良强制性运动疗法,对照组给予常规康复治疗。治疗前后2组均采用Berg平衡量表(BBS)评价平衡能力;简式Fugl-Meyer评价法(FMA-L)评价下肢功能;Holden步行功能分级量表(FAC)评价行走能力,独立功能量表(FIM)评价ADL。结果:治疗8周后,2组FMA-L、BBS、FAC及FIM评分与治疗前比较均有明显上升(P<0.05,0.01),且强化组较对照组更显著(P<0.05)。治疗后2组能独立步行的比例较治疗前明显提升,强化组更高于对照组(72.9%与54.2%,P<0.05)。结论:配合改良强制性运动疗法能够最大程度促进脑卒中偏瘫患者下肢功能的恢复。
Objective： To explore the efficacy of modified constraint-induced movement therapy（mCIMT） on motor function recovery of lower extremity of stroke patients.Methods： Ninety-six patients with stable stroke were randomly divided into the enhanced group（48 cases） and control group（48 cases）.The enhanced group was given mCIMT,and the control group received routine rehabilitation treatment.The two groups were treated for 4 h every day,5 times a week for 8 weeks.The therapeutic efficacy was evaluated with Berg balance scale（BBS）,Fugl-Meyer scale for evaluating lower-extremity function（FMA-L）,functional ambulation category scale（FAC） and functional independence measure（FIM） before and 8 weeks after treatment.Results： Before treatment,the difference had no statistically significant between the two groups.After treatment,the scores of BBS,FMA-L,FCA and FIM had significant difference between the two groups.The proportion of patients with independent walking in the enhanced group reached 72.9% after treatment,and that in the control group reached 54.2%（P0.05）.Conclusion： mCIMT can promote recovery of lower limb function in stroke-induced hemiplegia patients to a great extent.
出处
《中国康复》
2011年第5期339-341,共3页
Chinese Journal of Rehabilitation
关键词
脑卒中
偏瘫
康复
改良强制性运动疗法
stroke
hemiplegia
rehabilitation
modified constraint-induced movement therapy
