运动再学习疗法对脑卒中偏瘫患者上肢运动功能的影响  

Effects of motor relearning program on the upper limb motor function in hemiplegic stroke patients

作　　者：符俏[1] 孙畅[1] 文国强[1] 曾育山[1] 

机构地区：[1]海南省人民医院,海南海口570102

出　　处：《中国热带医学》2009年第7期1293-1294,共2页China Tropical Medicine

摘　　要：目的探讨运动再学习疗法对脑卒中偏瘫患者运动功能和日常生活能力(ADL)的影响。方法本研究采用随机病例对照研究方法。39例脑梗死偏瘫患者随机分为对照组:常规康复干预(20例)和治疗组:常规康复干预+运动再学习疗法(21例)。每组患者入选时和治疗8周后,分别用Fugl-Meyer运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的上肢运动功能和ADL。结果同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<0.01),治疗后治疗组的FMA和MBI值比对照组显著升高(P<0.01)。结论运动再学习疗法可明显的促进脑卒中偏瘫患者运动功能和日常生活能力。Objective To investigate the effects of motor relearning program on the upper limb motor function and activity of daffy living （ADL） in hemiplegic stroke patients. Methods There 39 patients with hemiplegic stroke randomly subdivided into two groups：A control group （n=20） and an experimental group （n=21）. All patients were treated with the routine rehabilitation training. In the experimental group patients were treated with motor relearning program meanwhile. All patients were assessed with Fugl-Meyer assessment （FMA） and Modified Bathel Index （MBI） 8 weeks before and after treatment. Results The scores of FMA and MBI 8 weeks after treatment were significantly increased in beth groups compared with before treatment（P〈0.01 ）. The scores of FMA and MBI in the experimental group were significantly increased 8 week after treatment compared with the control group （P〈0.01）. Conclusion Motor relearning program significantly improves the upper limb motor function and ADL in the patients with hemiplegic stroke.

关 键 词：运动再学习疗法 脑卒中 偏瘫 上肢运动功能 

分 类 号：R742[医药卫生—神经病学与精神病学]