智能上肢多功能磨砂板训练对脑卒中后偏瘫患者上肢运动功能的影响  

Well-designed board sanding can improve the upper extremity motor functioning of hemiplegic stroke patients

作　　者：王勋国[1] 卢建亮[1] 吴浩[1] 何雪常 杨伟[1] 陈辉煌[1] 欧阳辉[1] 陈卓铭[1] Wang Xunguo;Lu Jianliang;Wu Hao;He Xuechang;Yang Wei;Chen Huihuang;OuYang Hui;Chen Zhuoming(The Department of Rehabilitation,The First Affiliated Hospital of Jinan University,Guangzhou 510000,China)

机构地区：[1]暨南大学附属第一医院康复科,广州510630

出　　处：《中华物理医学与康复杂志》2021年第7期615-618,共4页Chinese Journal of Physical Medicine and Rehabilitation

基　　金：中国残联课题残疾人辅助器具专项(CJFJRRB22-2019);国家重点研发计划资助(2020YFC2005700)。

摘　　要：目的观察智能上肢多功能磨砂板训练对脑卒中后偏瘫患者上肢运动功能的影响。方法将脑卒中偏瘫患者60例按随机数字表法分为观察组(30例)和对照组(30例),2组进行常规康复治疗,观察组在此基础上增加智能上肢多功能磨砂板训练,对照组则增加传统磨砂板训练。2组患者磨砂板训练均每日1次,每次20 min,每周治疗6 d,连续治疗4周。于治疗前和治疗4周后(治疗后)采用Fugl-Meyer运动功能量表上肢运动部分(FMA-UE)、改良的Barthel指数(MBI)、视觉模拟评分法(VAS)和改良的Ashworth分级评价量表(MAS)分别评估2组患者的上肢运动功能、日常生活活动能力、疼痛程度和患侧肱二头肌、肱三头肌的肌张力。结果治疗后,2组患者的各项评定指标均优于组内治疗前,差异均有统计学意义(P<0.05),且观察组治疗后的FMA-UE、MBI、VAS评分分别为(26.27±7.51)分、(78.13±11.62)分和(0.67±0.47),均显著优于对照组治疗后,差异均有统计学意义(P<0.05)。治疗后,2组患者肱二头肌和肱三头肌的MAS评分均优于组内治疗前,差异均有统计学意义(P<0.05)。结论在常规康复的基础上增加智能上肢多功能磨砂板训练可显著改善脑卒中患者的上肢运动功能、日常生活活动能力和疼痛程度,其疗效优于传统磨砂板训练。Objective To observe the effect of well-designed board sanding training on the upper extremity motor functioning of hemiplegic stroke survivors.Methods Sixty stroke survivors with hemiplegia were randomly divided into an observation group(30 cases)and a control group(30 cases).All received conventional rehabilitation.The observation group′s training involved intelligent board sanding,while the control group′s training involved traditional sanding.Results After the treatment,significant improvement was observed in the Fugl-Meyer upper extremity scores,modified Barthel index scores and reported shoulder pain in both groups,with the observation group′s averages significantly better than those of the control group.After the intervention,the average scores of both groups on the modified Ashforth scale had also improved significantly.Conclusions Supplementing conventional rehabilitation treatment with intelligent board sanding can significantly improve upper extremity motor function and ability in the activities of daily living of stroke survivors with hemiplegia while somewhat relieving shoulder pain.The effect is better than with traditional board sanding.

关 键 词：磨砂板 脑卒中 上肢运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]