运动再学习疗法对脑卒中偏瘫患者功能恢复的疗效观察

Effect of motor relearning programme on the functional recovery of hemiplegic patients after stroke

目的:观察运动再学习疗法对脑卒中偏瘫患者功能恢复的疗效。方法:脑卒中偏瘫患者62例,随机分为观察组33例和对照组29例,观察组给予运动再学习疗法治疗,对照组进行常规康复治疗。采用临床神经功能缺损程度评分(CNS)、简式Fugl-Meyer(FMA)运动功能评价法、改良巴氏指数(MBI)评定,分别评定患者的临床神经功能缺损程度、运动功能和日常生活活动能力。结果:治疗8周后,2组CNS评分均较治疗前明显下降(P<0.01),且观察组更低于对照组(P<0.05);2组FMA及MBI评分均较治疗前明显提高(P<0.01),且观察组更高于对照组(P<0.05)。结论:两种治疗方法均有助于患者功能恢复,运动再学习疗法较传统康复治疗方法更能有效地促进脑卒中偏瘫患者的功能恢复。

Objective：To observe the effect of motor relearning programme （MRP） on the functional recovery of hemiplegic patients after stroke.Methods：Sixty-two hemiplegic patients after stroke were randomly divided into two groups：MRP group （n=33） and control group （n=29）,receiving MRP and routine rehabilitation therapy respectively.The patients were assessed with clinical neurologic deficit scale （CNS）,Fugl-Meyer Assessments （FMA） and Modified Barthel Indexes （MBI） before and after treatment.Results：The scores of FMA and MBI were increased,and those of CNS decreased in both groups after 8-week treatment （P＜0.01 for all）,more significantly in MRP group than in control group （P＜0.05 for all）.Conclusion：The two kinds of training methods could promote the functional recovery of hemiplegic patients after stroke,and MRP is superior to the routine rehabilitation therapy.