偏瘫体操对脑卒中患者运动功能及日常生活活动能力的影响

Effect of Hemiplegic Gymnastics on Motor Function and Activities of Daily Living of Stroke Patients

目的观察偏瘫体操对脑卒中患者运动功能及日常生活活动能力的影响。方法将60例脑卒中偏瘫患者随机分为康复组和体操组,均接受常规PT、OT训练(采用神经发育促进技术),共8周。体操组在此基础上配合偏瘫体操训练。分别于治疗前、治疗8周后采用Fugl-Meyer评测法(FMA)评定两组患者的运动功能,采用改良Barthel指数(MBI)评定日常生活活动(ADL)能力,比较两组患者的评分变化。结果治疗前,两组患者的FMA和MBI评分差异无显著性意义(P>0.05);治疗后,体操组患者的评分明显优于康复组(P<0.01)。结论偏瘫体操结合常规康复训练可明显促进脑卒中偏瘫患者的运动功能及ADL能力。

Objective To observe effect of hemiplegic gymnastics on motor function and activities of daily living （ADL） of stroke patients. Methods 60 stroke patients were randomly divided into the rehabilitation group and hemiplegic gymnastics group with 30 eases in each group. All patients of two groups received conventional physical therapy and occupational therapy training, using neural technology for development. The course was eight weeks. At same time the patients of the gymnastics group also received hemiplegie gymnastics treatment. Before and after treatment, all patients of the two groups were assessed with Fugl-Meyer Assessment （FMA） for motor function and Modified Barthel Index （MBI） for ADL respectively. The changes of FMA and MBI scores of patients in two groups were compared. Results Before treatment, there was no significant difference in FMA and MBI scores between two groups （P 〉0.05）; after treatment, the FMA and MBI scores of the patients in the gymnastics group were superior to that of the rehabilitation group （P 〈0.01）. Conclusion Hemiplegic gymnastics combined with conventional rehabilitation training can improve motor function and ADL of stroke patients.