作业疗法和运动疗法对老年脑卒中患者上肢功能及日常生活活动能力的影响

Occupational Therapy and Physical Therapy on Upper Limb Function and Activities of Daily Living for Old Stroke

目的探讨作业疗法和运动疗法对老年脑卒中患者上肢运动功能及日常生活活动能力的影响。方法将62例急性脑卒中分为观察组(运动疗法加作业疗法)和对照组(运动疗法),两组患者入院后均接受神经内科常规药物治疗。训练3个月后,应用Fugl-Meyer量表(FMA)评定患者上肢运动功能,Barthel指数(BI)评定日常生活能力。结果治疗后观察组的FMA评分和BI均明显优于对照组(P<0.01)。结论作业疗法联合运动疗法可明显改善老年脑卒中患者的上肢运动功能,提高日常生活活动能力。

Objective To observe occupational therapy combing with physical therapy on the upper limb movement function and the activities of daily living for the old stroke patient.Methods 62 stroke patients with hemiplegia were divided into the observation group（occupational therapy with physical therapy） and control group（physical therapy）.All patients were evaluated with Bathel Index（BI） and Fugl-Meyer Assessment（FMA） before and 3 months after treatment.Results The scores of BI and FMA increased significantly in the observation group compared with the control group after the treatment（P〈0.01）.Conclusion Occupational therapy combing with physical therapy can obviously improve the upper limb movement function and the activities of daily living for the old stroke patient.