早期康复对急性脑卒中偏瘫患者肌痉挛、ADL与运动能力的影响

Effect of early rehabilitation on spasticity,activities of daily living and motor function in patients with hemiplegia after stroke

目的:探讨早期康复治疗对急性脑卒中偏瘫患者肌痉挛、运动能力及日常生活能力的影响。方法:采用前瞻性随机对照试验研究方法,选择急性脑卒中偏瘫患者100例,随机分为康复组和对照组。康复组在临床药物治疗的同时进行正规的康复训练,对照组给予临床药物治疗及未经指导的自我锻炼,在患者入组时、6个月后分别进行功能评定,评价两组的疗效。结果:经1—6个月治疗后,巴氏指数、运动能力、肌痉挛评分均有一定程度的改善,其改善幅度治疗组明显优于对照组(P<0.05)。结论:早期康复有助于改善偏瘫患者的肌痉挛、日常生活能力、运动能力。

Objective：To study the effect of early rehabilitation on spasticity,activities of daily living （ADL） and motor function in patients with hemiplegia after stroke and design prospective, randomized and controlled trial. Method： One hundred patients were randomly divided into two groups,rehabilitation group （50 cases） and control group（50 cases）. Patients in the rehabilitation group were given clinical treatment and regular rehabilitation training, while those in control group were given clinical treatment and unguided self-training. The evaluation was done in pre-treatment and after six months treatment. Result：ADL scores （measured with Barthel index）, the motor scores （measured with Fugl-Meyer） and spasticity scores （measured by Modified Ashworth） in the two groups after 1-6 month treatment. The scores in the rehabilitation group were obviously superior of those the control group （P〈0.05）. Conclusion：Early rehabilitation is an effective approach which can improve muscle spasticity,ADL and motor function in patients with hemiplegia after stroke.