生物反馈联合上肢任务导向性训练对脑卒中偏瘫患者上肢功能的影响  

Influence of Biofeedback Combined with Upper Limb Task-Oriented Training on Upper Limb Function in Stroke Patients with Hemiplegia

作　　者：杜振峰[1] 蔡琛[1] 王国英[1] DU Zhenfeng;CAI Chen;WANG Guoying(Zhengzhou Peopled Hospital,Zhengzhou 450053,China)

机构地区：[1]郑州人民医院,河南郑州450053

出　　处：《临床医学工程》2021年第1期3-4,共2页Clinical Medicine & Engineering

基　　金：2018年度河南省科技攻关项目(项目编号:182102310537)。

摘　　要：目的探讨生物反馈联合上肢任务导向性训练对脑卒中偏瘫患者上肢功能的影响。方法选取我院2017年3月至2019年12月收治的脑卒中偏瘫患者87例,随机分为观察组(44例)和对照组(43例)。对照组行上肢任务导向性训练,观察组行生物反馈联合上肢任务导向性训练。采用Fugl-Meyer运动评分(FMA)评价患者上肢运动功能,采用偏瘫上肢功能测试-香港版(FTHUE-HK)评价患者上肢功能,采用脑卒中专用生活质量表(SS-QOL)评价患者生活质量。结果治疗后,两组的FMA评分、FTHUE-HK评级、SS-QOL评分均高于治疗前,且观察组的FMA评分、FTHUE-HK评级、SS-QOL评分均高于对照组(P<0.05)。结论生物反馈联合上肢导向性训练治疗脑卒中偏瘫患者能有效改善其上肢功能及运动能力,提高生活质量。Objective To explore the influence of biofeedback combined with upper limb task-oriented training on upper limb function in stroke patients with hemiplegia.Methods 87 stroke patients with hemiplegia admitted to our hospital from March 2017 to December 2019 were selected and randomly divided into observation group(44 cases)and control group(43 cases).The control group received upper limb task-oriented training,and the observation group received biofeedback combined with upper limb task-oriented training.Fugl-Meyer Assessment(FMA)was used to evaluate the upper limb motor function.Functional Test for Hemiplegic Upper Extremity-Hong Kong(FTHUE-HK)was used to evaluate the upper limb function.Stroke-specific quality of life(SS-QOL)was used to evaluate the quality of life.Results After treatment,the FMA scores,FTHUE-HK.grade and SS-QOL scores of the two groups were higher than those before treatment,and the FMA scores,FTHUE-HK grade and SS-QOL score of the observation group were higher than those of the control group(P<0.05).Conclusions Biofeedback combined with upper limb task-oriented training can effectively improve the upper limb function and motor ability of stroke patients with hemiplegia,and improve the quality of life.

关 键 词：生物反馈 上肢任务导向性训练 脑卒中 偏瘫 上肢功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]