手CPM训练对偏瘫患者手部痉挛及手功能的疗效观察

Effect of Continuous Passive Motion on Hand Spasm and Hand Function of Hemiplegic Patients

目的观察手持续被动运动(CPM)对降低偏瘫患者手部痉挛、改善手功能的作用。方法将60例脑卒中、脑外伤后伴有手部痉挛的偏瘫患者随机分为治疗组和对照组,各30例。治疗组在接受正规康复治疗的基础上辅以手部关节CPM。对照组只接受正规的康复治疗。观察两组患者手部痉挛及功能的变化。结果治疗4周后,治疗组患者的手部痉挛与手功能的改善优于对照组(P<0.05)。结论康复训练仍是降低偏瘫患者手部痉挛和提高手功能的有效方法,手CPM作为一种重要的辅助方法,与康复训练结合可明显提高疗效,缩短疗程。

Objective To observe the effects of hand function training with continuous passive motion （CPM） on hand spasm and function of the hemiplegic patients. Methods 60 hemiplegic patients after stroke or brain trauma and with hand spasm were randomly divided into the treatment group and control group with 30 cases in each group. The cases in the treatment group were treated mainly with the method of CPM together with the routine rehabilitation procedures, while the those in the control group were only treated with the routine rehabilitation procedures. The changes of hand spasm and function of two groups were observed. Results After four weeks treatment, the efficacy of the treatment group was obviously better than that of the control group （ P〈0.05）. Conclusion The rehabilitation training is an effective method for treatment of hemiplegia, and CPM is an important auxiliary method in the treatment. These two methods combined together can shorten the course of treatment, and strengthen cure efficacy.