脑卒中社区康复简易技术的研究

The study on the effects of community based motor function rehabilitation simple technique in patients after stroke

目的:探讨脑卒中社区康复简易技术对脑卒中患者运动功能和日常生活活动能力的影响。方法:采用小样本、随机对照研究方法,选取北京广外医院的脑卒中患者48例,分为对照组22例和治疗组26例,设计脑卒中社区康复简易技术训练,结合常规治疗,治疗组患者进行集体训练,对照组患者仅进行常规治疗。分别于入选时、治疗1个月后、治疗3个月后采用量表进行评测。结果:两组患者在治疗前和治疗后1个月时运动功能和日常生活活动能力均无显著性差异(P>0.05),在治疗后3个月时治疗组的运动功能和日常生活活动能力与对照组相比较,有显著性增加,差异有显著性意义(P<0.05)。结论:脑卒中社区康复简易技术有助于提高脑卒中患者运动功能和日常生活活动能力。

Objective：To investigate the effects of community based motor function rehabilitation simple technique on motor function and activities of daily living （ADL） in 48 stroke patients, Method： Forty-eight stroke patients were selected from Guangwai Hospital in Beijing. They were randomly divided into two groups： test group and control group, composed of 26 and 22 cases respectively. Those in test group received group training with self-designed community based motor function rehabilitation simple technique combining with routine therapy, while those in control group only received routine therapy, All patients were assessed with the scale of motor functional （Fugl- Meyer） and ADL （Barthel index） at the enrollment time, the end of 1st month, 3rd month after enrollment, respectively, Result： At the entering time and the end of 1st month there were no significant difference between two groups in Fugl-Meyer assessment and Barthel index scores （P〉0.05）, At the end of 3rd month, the scores of Fugl-Meyer and Barthel index improved significantly （P〈0.05）. Conclusion： Community based motor function rehabilitation simple technique is effective to improve motor function and ADL of stroke patients.