模拟运动在脑卒中偏瘫早期康复中的作用

Early rehabilitation of mimic kinesiotherapy in stroke patients with hemiplegia

目的：探讨运用模拟方法对偏瘫早期康复的疗效及其机制。方法：治疗组在患肢上按顺序放置组合式电极，输出４路低频调制脉冲方波，模拟肢体整体运动的动态模拟方法，对７３例脑卒中偏瘫患者进行早期康复治疗，对照组仅给予常规康复治疗；两组均治疗３０天，采用Ｆｕｇｌ－Ｍｅｙｅｒ评分法对两组患者治疗前后的运动功能进行评定分析。结果：与对照组相比，治疗组患者的运动积分及关节活动度积分显著增高（Ｐ＜０．０１）；而且关节活动度、拮抗肌的协调性都明显优于对照组（Ｐ＜０．０１）。结论：模拟运动方法疗效高，安全，无副作用。

Objective:The purpose of this study was to explore the effect and mechanism of mimic kinesiotherapy for hemiplegia caused by brain apoplexy.Methods:146 stroke patients with hemiplegia were equivalently divided into treatment group and control group.The patients in treatment group were given the mimic kinesiothetapy,which was out of the“Rehabilitation Dynamic Simulator with Type 888C”.The cases of control group were only trained with conventional rehabilition procedures.The period of treatment all was 30 days in both groups.The FuglMeyer scale was emplyed in assessment of motion function before and after the treatment in all patients.Results:After one course of treatment,the scores of extremities motion function,joint ROM as well as the cooperation of antagonistic muscles were significantly higher than those of control group(P<0.01).Conclusion:The study shows that the analogue kinesiotherapy is a safe and effective therapy in treating the hemiplegia caused by brain apoplexy.So it is worth to spread.