强制性使用运动疗法对不同时期脑卒中偏瘫患者上肢功能障碍的影响  

Effects of compulsory exercise therapy on the upper limb disorder in stroke patients with hemiplegia at different stages

作　　者：宋成刚[1] 杨珩[1] 舒丽伟[1] 张荣国[1] 

机构地区：[1]黑龙江省农垦总局总医院康复科,黑龙江哈尔滨150088

出　　处：《中国医药科学》2016年第24期193-194,206,共3页China Medicine And Pharmacy

基　　金：黑龙江省垦区科研项目(HNK125A-13)

摘　　要：目的研究强制性使用运动疗法对不同时期脑卒中偏瘫患者上肢功能障碍的影响。方法选择60例脑卒中患者,随机平均分为脑卒中亚亚急性期治疗组和慢性期对照组。治疗组、对照组均采用强制性运动疗法治疗2周。采用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。结果同组间治疗前后比较,FMA和MBI均明显改善,差异比较有统计学意义(P<0.05);治疗后亚急性期组的FMA和MBI值比对照组显著升高(P<0.05)。说明CIMT对亚急性期组的上肢运动障碍治疗效果更好。结论在脑卒中亚亚急性期强制性使用运动疗法比慢性期效果明显。Objective To study the effect of compulsory exercise therapy on upper limb dysfunction in stroke patients with hemiplegia at different stages. Methods 60 cases of stroke patients were randomly divided into stroke Subacute phase treatment group and chronic control group.The treatment group and the control group were treated with compulsory exercise therapy for 2 weeks.The Fugl-Meyer assessment scale（FMA） and modified Barthel Index（MBI） were used to assess motor function of upper limb in patients. Results After treatment,FMA and MBI in the same group were significantly improved,the difference was statistically significant（P 〈 0.05）.After treatment, the FMA and MBI values in subacute group were significantly higher than those in control group（P 〈 0.05）.The results show that CIMT was more effective in the treatment of upper limb dyskinesia in subacute stage. Conclusion The effect of using exercise therapy in the treatment of subacute stroke is more obvious than that in chronic phase.

关 键 词：亚亚急性期与慢性期 强制性使用运动疗法 上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]