音乐疗法对脑卒中偏瘫患者肢体运动功能的影响  

The Effects of Music Therapy on Motor Function and ADL in the HemipLegic Patients with Stroke

作　　者：宋涛[1] 许光旭 龙丽华[1] 符鲲[1] 李辉萍[1] 陶希[1] 张付秀[1] 

机构地区：[1]湖南省马王堆医院康复医学科,湖南长沙410016 [2]南京医科大学第一附属医院康复医学科,江苏南京210000

出　　处：《中国医药指南》2013年第5期21-23,共3页Guide of China Medicine

摘　　要：目的探讨音乐疗法对脑卒中偏瘫患者肢体运动功能和日常生活活动(ADL)能力的影响。方法采用随机病例对照方法,将入选的39例脑卒中患者随机分为治疗组(n=20)和对照组(n=19),治疗组音乐疗法进行干预。入选时和治疗4周后,用Fugl-Meyer运动功能评分方法和改良巴氏指数评定患者的肢体运动功能和ADL能力。结果同组间治疗前后比较,FMA和MBI均有明显改善,差异有显著性意义(P<0.01),治疗后治疗组与对照组之间的FMA和MBI值比较差异有显著性意义(P<0.01)。结论音乐疗法可明显地促进脑卒中偏瘫患者肢体运动功能和ADL能力恢复。Objective To investigate the effects of music therapy on the limbs motor function and activity of daily living（ADL） in the hemipLegic patients with stroke.Methods A randomly case control study approach was conducted.Thirty nine hemiplegic patients with storke were randomly divided into experiment group（n=20） and control group（n=19）.All patients were treated with routine rehabilitatinon training.Those patients In experiment group were treated with music therapy additionally.All patients were assessed by Fugl-Meyer assessment（FMA） and Modified Barthel Index（MBI） before and after 4-week therapy.Result After 4 weeks treatment in both groups,FMA and MBI scores improved significantly compared with anterior treatment（P0.01）.Meanwhile,FMA and MBI scores in experimental group increased outstanding higher than control group（P0.01）.Conclusion Music therapy can improve the limbs motor function andADL in the hemiplegic patients with stroke.

关 键 词：音乐疗法 脑卒中 肢体运动功能 日常生活活动能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学]