任务导向性训练联合针灸疗法治疗对脑卒中早期手功能康复的影响  

Effect of task-oriented training combined with acupuncture therapy treatment on early hand function rehabilitation in stroke

作　　者：林洁玲[1] 刘志东[1] 唐茂生 LIN Jie-ling;LIU Zhi-dong;TANG Mao-sheng(Department of rehabilitation medicine,Xinyi City People's Hospital,Xinyi 525300,China)

机构地区：[1]信宜市人民医院康复医学科,广东信宜525300

出　　处：《中国处方药》2023年第9期186-189,共4页Journal of China Prescription Drug

摘　　要：目的探讨任务导向性训练联合针灸疗法干预脑卒中早期手功能的康复效果。方法选取2020年5月~2021年12月50例单侧肢体功能障碍的脑卒中患者,随机数字表法分为试验组(常规神经内科治疗+针灸疗法+任务导向性训练,25例)和对照组(常规神经内科治疗+针灸疗法,25例)。干预前后,以改良Ashworth量表(MAS)评价两组患侧上肢肌力情况,使用握力计测定两组患侧手最大握力,以Fugl-Meyer评定量表(FMA)评价两组患侧上肢运动功能,以上肢动作研究量表(ARAT)评价两组患侧手部运动功能。结果两组干预前后MAS评分差异无统计学意义(P>0.05),试验组干预后手最大握力高于对照组,FMA与ARAT评分高于对照组,差异有统计学意义(P<0.05)。两组干预前腕关节背伸AROM差异无统计学意义(P>0.05),试验组干预后腕关节背伸AROM及差值均高于对照组,差异有统计学意义(P<0.05)。结论脑卒中早期予以患者任务导向性训练联合针灸疗法,可以更好地增强患者手握力,提高患者手运动能力,促进患者上肢功能恢复。Objective To Explore the rehabilitation effects of task-oriented training combined with acupuncture therapy for early stroke intervention in hand function.Methods Fifty stroke patients with unilateral limb dysfunction in a hospital from May 2020 to December 2021 were selected and divided into the test group(conventional neurology treatment+acupuncture therapy+task-oriented training,25 cases)and the control group(conventional neurology treatment+acupuncture therapy,25 cases)by the random number table method.Before and after the intervention,the muscle strength of the affected upper limbs in both groups was evaluated by the Modified Ashworth Scale(MAS),the maximum grip strength of the affected hands in both groups was measured using a grip strength meter,the motor function of the affected upper limbs in both groups was evaluated by the Fugl-Meyer Assessment Scale(FMA),and the motor function of the affected hands in both groups was evaluated by the Upper Extremity Movement Study Scale(ARAT).Results There was no statistically significant difference in MAS scores before and after intervention between the two groups(P>0.05),and the maximum hand grip strength was higher in the test group than in the control group after intervention,and the FMA and ARAT scores were higher than in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in AROM of wrist dorsiflexion between the two groups before the intervention(P>0.05),and the AROM and difference of wrist dorsiflexion after the intervention were higher in the test group than in the control group,and the difference was statistically significant(P<0.05).Conclusion The combination of task-oriented training and acupuncture therapy in early stroke can better enhance hand grip strength,improve hand movement and promote the recovery of upper limb function.

关 键 词：任务导向性训练 针灸疗法 脑卒中 手功能 康复 

分 类 号：R743.3[医药卫生—神经病学与精神病学]