改良强制性运动疗法对脑卒中患者上肢Brunstrom分期的影响

Effect of modified constraint-induced movement therapy on Brunstrom staging of upper limbs in stroke patients

目的探讨改良强制性运动疗法对脑卒中患者上肢Brunstrom分期的影响。方法选择脑卒中患者96例,随机分为试验组和对照组,每组48例。试验组运用改良强制性运动疗法,对照组运用常规的神经康复治疗技术;入院24h内、8周、16周时分别评价功能情况。结果与对照组比较,试验组患者1个月以内和6个月以上中评时,上肢手和肩臂功能达到BrunstromⅤ～Ⅵ期的比例明显升高,6个月以上末评时,上肢手和肩臂功能达到Brun-stromⅤ～Ⅵ期的比例明显升高,差异有统计学意义(P<0.05)。结论改良强制性运动疗法在短期内,能促进脑卒中患者上肢功能的恢复,疗效优于神经康复治疗技术。对病程长久的脑卒中患者恢复的更快,而对病程短的脑卒中患者,在长期疗效中,体现出的效果优势不明显。

Objective To study the effect of modified constraint-induced movement therapy oil Brunstrom staging of upper limbs in stroke patients. Methods Ninety-six stroke patients were randomly divided into experiemntal group and control group（48 in each group）. Patients in experi mental group received modified constraint-induced movement therapy and those in control group recived routine neurological rehabilitation treatment. Function of their upper limbs was assessed within 24 h and at weeks 8 and 16 respectively after their admission. Results The function of upper limbs,shoulders and arms reached BrunstromV-VI within 1 month and over 6 months in experimental group,which was much better than that in control group（P〈0.05）. Conclusion The effect of modified constraint-induced movement therapy is better than that of neurological rehabil- itation treatment on function recovery of upper limbs in stroke patients, especially in those with a long course of stroke. However,its effect is not significant in those with a short course of stroke.