作业疗法对脑卒中患者上肢运动功能的影响

Effect of Occupational Therapy on Upper Extremity Function in Stroke Patients

目的:比较两种不同的康复治疗技术对存在有上肢运动功能障碍的脑卒中患者的治疗作用。方法:40例脑卒中患者随机分为作业组和对照组各20例,均配合运动疗法,包括主被动运动,运动想象等。作业组增加作业疗法,主要内容为上肢控制能力、关节活动度及精细动作训练。训练前及训练2、4、6及8周时均采用Fugl-Meyer评定量表(FMA)对2组患者上肢运动功能评分。结果:与训练前比较,作业组在介入训练2周后FMA评分持续上升,8周>4周>2周;对照组在训练4周后FMA评分开始上升,作业组在各训练时间段FMA评分均高于对照组(均P<0.05,0.01)。结论:早期介入作业疗法对脑卒中偏瘫患者上肢运动功能的恢复有积极影响。

Objective： To investigate the effect of occupational therapy on stroke patients with motor dysfunction of upper extremities.Methods： Forty patients with stoke,aged from 60 to 75 years,were randomly divided into the occupational therapy group（n=20） and control group（n=20）.Both two groups received exercise therapy,including active movement,passive movement and motor imagery therapy,etc.Besides,patients in the occupational therapy group received occupational therapy additionally,including the training of control ability of upper limbs,the training of ROM and the training of mental movement.The motor function of upper extremities was evaluated by Fugl-Meyer Assessment（FMA） before and 2,4,8 weeks after treatment.Results： The scores of FMA in occupational therapy group were continually increased from 2nd week,8th week4th week2nd week（P0.05）.The scores of FMA in control group were increased from 4th week（P0.05）.The scores of FMA in occupational therapy group were significantly higher than in control group at each time point（P0.05 or P0.01）.Conclusion： Early intervention of occupational therapy in stroke patients with hemiplegia can provide positive effects on recovery of upper extremities function.