强制性运动疗法对亚急性期脑卒中偏瘫患者上肢运动功能障碍的康复疗效研究  

The rehabilitation effect of constraint induced movement therapy on hemiplegic upper limb dysfunction in subacute period

作　　者：宋成刚[1] 张荣国[1] 张俊[1] 刘加丰[1] 杨珩[1] 

机构地区：[1]黑龙江省农垦总局总医院,黑龙江哈尔滨150088

出　　处：《中国医药科学》2016年第6期149-151,共3页China Medicine And Pharmacy

基　　金：黑龙江省垦区科研项目(HNK125A-13)

摘　　要：目的观察亚急性期应用强制性运动疗法(CIMT)治疗脑卒中偏瘫患者上肢运动功能障碍的康复疗效。方法选择脑卒中亚急性期偏瘫患者60例(男47例,女13例),根据随机数字表法,分为对照组(常规运动治疗)和治疗组(强制性运动疗法),每组30例,治疗前后分别进行FMA评分、改良Barther指数MBI评分,进行对比分析。结果与对照组相比,治疗组总有效率明显升高,差异有统计学意义(P<0.05)。与对照组相比,治疗组FMA评分、Barthel指数评分均有明显提高,差异有统计学意义(P<0.05)。结论亚急性期应用强制性运动疗法能有效改善脑卒中偏瘫患者的上肢运动功能障碍,建议临床推广。Objective To explore subacute application of CIMT（CIMT） rehabilitation treatment of stroke patients with hemiplegia upper limb dysfunction. Methods Stroke patients with acute hemiplegia 60 cases（male 47 cases, female 13 cases）, according to the random number, divided into control group（routine exercise therapy） and treatment group（constraint induced movement therapy）, 30 cases in each group, before and after the treatment, FMA score, modified barther index MBI score, were compared and analyzed. Results Compared with the control group, the total effective rate of treatment group was significantly increased, the difference was statistically significant（P〈 0.05）. Compared with the control group, the treatment group FMA score and Barthel index scores were significantly increased, the difference was statistically significant（P〈 0.05）. Conclusion Treatment of subacute mandatory application of exercise can effectively improve the upper limb motor dysfunction in patients with hemiplegia after stroke, it is recommended for clinical application.

关 键 词：强制性运动疗法 早期应用 亚急性期偏瘫患者 上肢运动功能障碍 康复 

分 类 号：R493[医药卫生—康复医学]