强制性运动疗法对脑卒中偏瘫患者上肢运动功能的影响

Effects of constraint-induced movement therapy on upper limb motor functional recovery in patients with hemiplegic stroke

目的:研究强制性运动疗法(CIMT)对脑卒中偏瘫患者上肢运动功能及日常生活能力(ADL)的影响。方法:选择40例脑卒中患者,随机平均分为强制性运动疗法(CIMT)治疗组和常规康复(RRT)治疗组,CIMT组采用强制性运动疗法治疗4周,RRT组采用常规康复治疗方法治疗4周。所有病人采用Fugl-Meyer运动功能评分法(FMA)和改良巴氏指数(MBI)评定患者的上肢运动功能和ADL。结果:同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<0.01),治疗后CIMT组的FMA和MBI值比RRT组显著升高(P<0.01)。结论:CIMT对于脑卒中患者偏瘫上肢功能是较常规康复疗法更有效的康复治疗手段。

Objective： To study the effects of constraint-induced movement therapy （CIMT） on upper limb functional recovery and activity of daily living （ADL） improvement in patients with hemiplegie stroke. Methods： Forty patients with stroke were randomly divided into average CIMT group and routine rehabilitation therapy （RRT） group, which were separately treated with constraint-induced movement therapy and routine rehabilitation therapy for 4 weeks. Upper limb function and activity of daily living of all patients were assessed with Fugl-Meyer assessment （FMA） and Modified Barthel Index （MBI） before and after the 4 weeks treatment. Results： After 4 weeks treatment, FMA and MBI scores of the two groups were both significantly increased （P 〈 0. 01 ） ; however, the increase of FMA and MBI scores were significant higher in the CIMT group than that were in the RRT group. （P 〈0.01 ）. Conclusion： Constraint-induced movement therapy is more effective than the routine rehabilitation therapy in improving the upper limb motor function and ADL in the patients with hemiplegie stroke.