目标导向式重复性运动训练对脑卒中患者上肢运动功能的效果  

Effect of Goal-oriented Repetitive Training on Upper Limb Motor Function after Stroke

作　　者：张艳明[1] 胡洁[1] 宋为群[1] 杜巨豹[1] 霍速[1] 孙丽[1] 王伟[1] 徐冬雪[1] 

机构地区：[1]首都医科大学宣武医院康复医学科,北京市100053

出　　处：《中国康复理论与实践》2016年第12期1380-1383,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：首都医科大学大学生科研训练项目;北京市优秀人才青年骨干项目

摘　　要：目的探讨目标导向式重复性运动训练对脑卒中患者上肢功能的效果。方法 2014年3月～2016年2月,60例脑卒中患者随机分成试验组（n=30）和对照组（n=30）。两组均接受常规康复治疗,试验组在此基础上增加目标导向式重复性运动训练。每次训练30 min,每天1次,每周5 d,共治疗4周。治疗前后分别进行简式Fugl-Meyer评定量表上肢部分（FMA-UE）、改良Barthel指数（MBI）评定。结果治疗前,两组FMA-UE评分、MBI评分均无显著性差异（Z〈1.153,P〉0.05）。治疗后,两组FMA-UE评分、MBI评分均显著增加（Z〉5.645,P〈0.001）,试验组均高于对照组（Z〉2.275,P〈0.05）;试验组治疗前后差值均显著高于对照组（t〉5.770,P〈0.001）。结论目标导向式重复性运动训练可以有效地促进脑卒中患者上肢功能的恢复。Objective To explore the effect of goal-oriented repetitive training on motor function of upper limb in patients with stroke.Methods From March, 2014 to February, 2016, a total of 60 stroke patients were randomly divided into experiment group（n=30） and control group（n=30）. Both groups received routine rehabilitation, while the experiment group received goal-oriented repetitive training in addition, 30 minutes once a day, 5 days a week for 4 weeks. They were assessed with simple Fugl- Meyer Assessment- Upper Extremity（FMA-UE） and modified Barthel index（MBI） before and after training. Results There was no difference in the scores of FMA-UE and MBI between two groups before training（Z〈1.153, P〈0.05）. The scores of FMA-UE and MBI significantly improved in both groups after treatment（Z〉5.645, P〈0.001）, in which the scores were higher in the experiment group than in the control group（Z〉2.275, P〈0.05）, as well as the D-value of scores before and after training（t〉5.770, P〈0.001）. Conclusion Goal-oriented repetitive training could promote the recovery of upper limb motor function in patients with stroke.

关 键 词：脑卒中 目标导向式重复性训练 上肢 运动功能 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]