康复训练结合心理康复对脑卒中偏瘫患者上肢运动功能的影响

Effects of Exercise with Psychological Rehabilitation on Motor Function of Upper Limbs for Stroke Patients with Hemiplegia

目的探讨作业疗法结合心理康复对偏瘫患者上肢运动功能及日常生活活动能力的影响。方法 34例偏瘫患者分成治疗组(n=17)和对照组(n=17),均实施常规康复训练及药物治疗,治疗组另加系统化心理康复。治疗前后,分别采用Fugl-Meyer评定法(FMA)、Barthel指数(BI)评定患者的上肢运动功能及日常生活活动能力。结果治疗后,两组患者FMA评分、BI评分均较治疗前显著改善(P<0.001),治疗组疗效显著优于对照组(P<0.001)。结论作业疗法结合心理康复能有效改善脑卒中偏瘫患者的上肢运动功能和日常生活活动能力。

Objective To explore the effects of exercise with psychological rehabilitation on motor function of upper limbs lbr stroke pa- tients with hemiplegia. Methods 34 stroke patients with hemiplegia were divided into treatment group （n=17） and control group （n=17）. Both groups were treated with basic medication and exercise while the treatment group received psychological rehabilitation additionally. The motor fimction of upper limbs was evaluated with Fugl-Meyer assessment （FMA）, and activities of daily living was assessed with Barth- el index （BI） before and after treatment. Results After treatment, the scores of FMA and BI improved significantly in both groups （P〈 0.001）, and was better in the treatment group than in the control group （P〈0.001）. Conclusion Exercise with psychological rehabilitation can effectively improve the motor function of upper limbs and activities of daily living for stroke patients with hemiplegia.