脑卒中后本体感觉障碍对日常生活能力的影响  

Effect of Proprioception Disturbance on Activities of Daily Living after Stroke

作　　者：刘景隆[1,2] 周连元 张红 

机构地区：[1]吉林大学第一附属医院康复科 [2]黑龙江省康复医院神经内一科,黑龙江哈尔滨市150018 [3]黑龙江省康复医院神经内一科

出　　处：《中国康复理论与实践》2006年第6期496-497,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察脑卒中后本体感觉障碍对日常生活活动能力（ADL）的影响.方法 67例脑卒中患者按有无本体感觉障碍分为A组（32例,有本体感觉障碍）和B组（35例,无本体感觉障碍）,均予常规药物及康复治疗,使用改良Barthel指数（MBI）在入院时及8周后评定患者的ADL.结果本组病例本体感觉障碍发生率48.6%;治疗8周后,两组患者的MBI均有提高（ P〈0.05～0.01）,但B组的平均分提高幅度大于A组（ P〈0.05）.结论本体感觉障碍对脑卒中后的ADL恢复有明显的不良影响,应早期进行本体感觉障碍检查,进行有针对性的训练.Objective To observe the effect of proprioception disturbance on the activities of daily living （ADL） after stroke. Methods 67 stroke patients were divided into group A （32 cases with proprioception disturbance） and group B （35 cases without proprioception disturbance） according to if having proprioception disturbance. All patients of two groups were treated with routine medicine and rehabilitation treatment. Modified Barthel Index （MBI） was used to assess ADL when admission and 8 weeks later. Resuits In all 67 stroke patients, the incidence of proprioception disturbance was 48.6%. After 8 weeks treatment, MBI scores of both groups improved significantly （P〈0.05～0.01） and the average scores of group A was obviously lower than that of group B （ P〈0. 05）. Conclusion Proprioception disturbance has bad affect on recovery of ADL after stroke obviously. Examination for proprioception disturbance should be performed in early stage after stroke and rehabilitation training should be carried on as soon as possible.

关 键 词：脑卒中 康复 本体感觉 日常生活活动能力(ADL) 

分 类 号：R743.3[医药卫生—神经病学与精神病学]