悬吊下数字作业疗法系统训练对脑卒中偏瘫患者上肢运动功能的效果  

Effects of Digital Occupational Therapy System training under suspension on upper limb motor function for stroke patients with hemiplegia

作　　者：童心 卢燕 张永卿 俞蔼晏 段再扬 徐磊[1] TONG Xin;LU Yan;ZHANG Yongqing;YU Aiyan;DUAN Zaiyang;XU Lei(Department of Rehabilitation Medicine,the First Affiliated Hospital of Bengbu Medical College,Bengbu,Anhui 233000,China)

机构地区：[1]蚌埠医学院第一附属医院康复医学科,安徽蚌埠市233000

出　　处：《中国康复理论与实践》2022年第11期1259-1264,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：安徽省高校自然科学研究项目(No.KJ2019A0397)。

摘　　要：目的观察悬吊下数字作业疗法(OT)评估训练系统训练对脑卒中后上肢运动功能障碍的影响。方法2021年2月至2022年2月,蚌埠医学院第一附属医院脑卒中偏瘫上肢运动功能障碍患者90例随机数字表法分为常规组、数字OT组和悬吊组,每组30例。三组均行常规上肢康复训练和药物治疗,并予传统OT治疗;数字OT组行上肢数字OT系统训练,悬吊组在上肢悬吊状态下行数字OT系统训练,共4周。治疗前后,采用Fugl-Meyer评定量表上肢部分(FMA-UE)、改良Barthel指数(MBI)进行评定,表面肌电图(sEMG)检测桡侧腕背伸肌收缩时的平均肌电值(AEMG)、均方根值(RMS)、中位频率(MF)和平均功率频率(MPF)。结果治疗后,3组FMA-UE评分、MBI评分、AEMG、RMS、MF和MPF均显著改善(|t|>9.202,P<0.001),悬吊组各项指标最优(F>8.791,P<0.001)。结论悬吊下数字OT系统训练能进一步改善脑卒中偏瘫患者上肢运动功能,提高日常生活活动能力,提高上肢肌肉功能。Objective To observe the effect of Digital Occupational Therapy(OT)System training under suspension on upper limb motor function after stroke.Methods From February,2021,to February,2022,90 stroke hemiplegic patients with upper limb motor dysfunction from the First Affiliated Hospital of Bengbu Medical College were randomly divided into routine group(n=30),digital OT group(n=30)and suspension group(n=30).All the groups received routine upper limb rehabilitation,medication,and routine OT,while the digital OT group received the upper limb training of Digital OT System and the suspension group received the upper limb training of Digital OT System with the upper limb suspended.They were assessed with Fugl-Meyer Assessement-Upper Extremities(FMA-UE)and modified Barthel Index(MBI)before and four weeks after treatment,while the mean electromyography(AEMG),root mean square(RMS),median frequency(MF)and mean power frequency(MPF)of the radial extensor carpi dorsi muscle during contraction were measured with surface electromyography(sEMG).Results The FMA-UE score,MBI score,AEMG,RMS,MF and MPF improved after treatment in all the groups(|t|>9.202,P<0.001),and all the indexes were the best in the suspension group(F>8.791,P<0.001).Conclusion Digital OT System training under suspension can promote the recovery of upper limb motor function for stroke patients,as well as the activities of daily living and the upper limb muscle function.

关 键 词：脑卒中 上肢 悬吊训练 作业疗法 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]