早期诱发手指功能训练对脑卒中患者的影响

Effect of Early Induced Finger Function Training on Stroke Patients

目的 探讨早期诱发手指训练对脑卒中患者的运动功能和日常生活能力的影响。方法 将60例脑卒中偏瘫患者随机分为早期诱发手指功能训练组（治疗组）和对照组各30例，对照组给予常规康复训练，治疗组在常规训练的基础上，给予早期诱发手指的屈伸动作训练。在治疗前和治疗后8～12周分别采用Brunnstorm分级评定、Fugl-Meyer运动积分（FMA）、神经功能缺损（NFD）评分、改良Barthel指数（MBI）对两组患者进行评定。结果 治疗后，治疗组患者的患侧上肢运动功能、手部功能及手精细运动功能较对照组明显提高（P〈0．05～0．01）。结论 早期诱发手指功能训练可明显提高脑卒中偏瘫患者的上肢运动功能和日常生活活动能力。

Objective To investigate the effect of early induced finger function training on motor function and activities of daily living （ADL） of stroke patients. Methods 60 stroke patients with hemiplegia were randomly divided into the early induced finger function training group （treatment group） and control group with 30 cases in each group. The patients of the control group were treated with routine rehabilitation; while those of the treatment group were added with training of early induced flexion and extension of fingers. All patients of two groups were assessed with Brunnstorm Scale, Fugl-Meyer Assessment, scores of Neurological Functional Deficit, and Modified Barthel Index before and 8-12 weeks after treatment. Results After treatment, upper limb motor rune tion, hand function and fingers＇ fine function in the sick side of the patients in the treatment group improved significantly better than that in the control group （P 〈0.05-0.01）. Conclusion The early induced finger function training can obviously improve the upper limb motor function and ADL of stroke patients.