姿势控制对脑卒中后患侧上肢运动功能及痉挛的影响

Effects of postural control training on upper limb spasticity and upper extremity function in patients with stroke

目的:观察姿势控制对卒中后患者患侧上肢运动功能及痉挛的影响。方法:选择脑卒中偏瘫患者60例,随机分为治疗组30例和对照组30例,对照组运用运动疗法,治疗组在此基础上运用新的bobath姿势控制理论进行治疗。在患者入组时和3个月后分别进行痉挛和运动功能评价。结果:经过3个月的治疗,2组患者患侧上肢运动功能及痉挛均获得改善,但治疗组改善程度明显优于对照组(P<0.05)。结论:姿势控制对卒中后患者上肢痉挛及运动功能改善有明显疗效。

Objective： To observe the influence of postural control training on upper limb spasticity and upper extremity function in patients with stroke. Methods： Sixty patients with stoke were randomly divided into the therapy group（n=30） and control group（n=30）. Both two groups received movement therapy, the therapy group received exercise therapy based on Bobath postural control concept. Upper limb spasticity and upper extremity function of all patients were evaluated before and after 3 months of treatment. Results： After rehabilitation treatment upper limb spasticity and upper extremity function were significantly improved in both two groups（P0.05）.The therapy group were better than that of the control group（P0.05）. Conclusion： The postural control training could significantly improve upper limb spasticity and upper extremity function in stroke patients.