医疗体操对早期中风患者运动功能的影响及其安全性的研究

Effects of therapeutic exercise on motor function of clinical stable hemiplegic patients and its safety

目的 :观察医疗体操对早期中风患者运动功能的作用及其安全性。方法 :偏瘫患者 72例 ,其中体操组 42例患者进行初、中、高 3级自我医疗体操训练。对照组 30例患者在治疗师指导下接受运动疗法。两组患者每天重复 2次训练 ,共 2周。观察患者治疗前后偏瘫功能的改善率及治疗前后即刻血压、心率的变化。结果 :体操组和对照组患肢功能的改善率分别为 :上肢 6 9%和 6 7% ,手 41%和 43% ,下肢 83%和 87% ,两组之间无显著性差异 ;患者早期进行医疗体操对血压、脉搏的影响不大。结论 :中风患者早期进行医疗体操可改善患肢功能 ,治疗师干预的减少减轻了治疗师的工作负荷和患者的经济负担。

Objective:To observe effects and the safety of an independent exercise for hemiplegic patients. Method: An independent therapeutic exercise program without manipulation of physical therapist was performed by 72 patients, including 42 cases in exercise group and 30 cases in control group (routine physical therapy). Exercise consisted of three levels. All patients had received training program twice a day for two weeks. The Brunnstrom′s motor function, blood pressure and pulse were measured before and after training. Brunnstrom's motor function increasing grade 1～3 was considered as clinically significant improvement. Result: The improvement of motor functions in both exercise and control groups were 69% and 67% in upper limb, 41% and 43% in hand, and 81% and 87% in lower limb, respectively. There was no significant difference between the two groups. The blood pressure and pulse in exercise group did not change significantly during training. Conclusion: Therapeutic exercise might improve motor function and be safe for these patients. It could be valuable to reduce medical cost in hemiplegic patients by reduction of therapist manipulation in the exercise program.