及早采用良肢位对急性脑卒中偏瘫患者肢体功能恢复的影响

The influence of normal limb position on effect of extremity rehabilitation in poststroke hemiplegia patients

目的探讨良肢位对急性脑卒中偏瘫患者肢体功能恢复的影响。方法106例急性脑卒中偏瘫患者分为康复组及对照组各53例,两组患者均接受抢救和常规药物治疗,康复组在发病早期即采用良肢位,而对照组患者采用功能位进行康复训练。治疗前及治疗1个月后采用Brunnstrom运动功能分级和Barthel指数对两组患者进行评估。结果治疗后康复组Brunnstrom运动功能分级和Barthel指数评分与对照组比较,差异有显著性意义(P<0.01)。结论及早采用良肢位对急性脑卒中偏瘫患者肢体功能的恢复有积极的效果。

Objective To investigate the influence of Normal Limb Position on effect of extremity rehabilitation in poststroke hemiplegia patients Methods One hundred and six acute stroke patients were divided randomly into recuperative therapy group （ n = 53 ） and control group （ n = 53 ）. Therapy group was treated with Normal Limb Position rehabilitation as well as medication. Control group was treated with medication and functional position. Patients were evaluated by the Brunnstrom scale scores and Barthel Index before and 1 month after treatment Results After treatment, the Brunnstrom scale scores and Barthel Index had significantdifferenee between the therapy group and the control group （ P 〈 0. 01 ）. Conclusions The early adoption of Normal Limb Position can improve the effect of extremity rehabilitation in poststrokc hemiplegia patients.