强制性运动疗法联合常规康复训练在卒中后上肢运动功能障碍患者中的应用效果  

Application effects of constraint-induced movement therapy combined with conventional rehabilitation training in patients with upper limb motor dysfunction after stroke

作　　者：杨丽[1] YANG Li(Department of Rehabilitation Medicine of Sanming Second Hospital,Sanming 366000 Fujian,China)

机构地区：[1]三明市第二医院康复医学科,福建三明366000

出　　处：《中国民康医学》2025年第9期89-91,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:观察强制性运动疗法联合常规康复训练在卒中后上肢运动功能障碍患者中的应用效果。方法:回顾性分析2021年8月至2023年8月该院收治的60例卒中后上肢运动功能障碍患者的临床资料,按照治疗方法不同将其分为观察组与对照组各30例。对照组采用常规康复训练干预,观察组在对照组基础上联合强制性运动疗法干预,两组均干预6周。比较两组干预前后上肢肌肉痉挛程度[改良Ashworth痉挛量表(MAS)]评分、上肢关节屈曲活动度、上肢运动功能[Fugl-Meyer运动功能评定量表(FMA)]评分、日常活动能力[Barthel指数(BI)]评分。结果:干预后,两组MAS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);干预后,两组肩、肘、腕关节屈曲活动度均大于干预前,且观察组大于对照组,差异有统计学意义(P<0.05);干预后,两组FMA评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组BI评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:强制性运动疗法联合常规康复训练应用于卒中后上肢运动功能障碍患者可降低上肢肌肉痉挛程度评分,增大上肢关节屈曲活动度,提高上肢运动功能和日常活动能力评分,效果优于常规康复训练。Objective:To observe application effects of constraint-induced movement therapy combined with conventional rehabilitation training in patients with upper limb motor dysfunction after stroke.Methods:The clinical data of 60 patients with upper limb motor dysfunction after stroke admitted to this hospital from August 2021 to August 2023 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,30 cases in each group.The control group was intervened by conventional rehabilitation training,while the observation group was intervened by constraint-induced movement therapy on the basis of that of the control group.Both groups were intervened for 6 weeks.The degree of upper limb muscle spasm[modified Ashworth spasm scale(MAS)]scores,the upper limb joint flexion range of motion,the upper limb motor function[Fugl-Meyer assessment(FMA)]score,and the activities of daily living[Barthel index(BI)]scores were compared between the two groups before and after the intervention.Results:After the intervention,the MAS scores of the two groups were lower than those before the intervention,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the intervention,the flexion ranges of motion of shoulder,elbow and wrist joints in the two groups were greater than those before the intervention,those in the observation group were greater than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the FMA scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Further,after the intervention,the BI scores of the two groups were higher than those before the intervention,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).

关 键 词：强制性运动疗法 康复训练 卒中 上肢运动功能障碍 肌肉痉挛 关节屈曲活动度 运动功能 

分 类 号：R743.3[医药卫生—神经病学与精神病学]