“主动渐进性拮抗累积锻炼法”在社区偏瘫康复中的疗效分析

Treatment analysis of active gradual antagonistic accumulation exercise in hemiplegia recovery in community

目的 探讨社区偏瘫患者主动渐进性拮抗累积锻炼与被动随意锻炼两者在功能恢复方面的差别。方法 随机将社区 92例脑卒中患者分为对照组 (被动运动 +综合治疗 ) 4 4例 ,治疗组 (主动渐进性拮抗累积锻炼 +综合治疗 ) 4 8例 ,对治疗前后两组病例进行Brunstrom偏瘫功能评价并比较两组偏瘫患者功能恢复率。结果 按Brunnstrom偏瘫功能评级 ,主动组病例恢复总有效率为 45 8% ,被动组病例恢复总有效率为 2 2 7% ,χ2 =5 40 3 ,P <0 0 2 5。结论 主动渐进性拮抗累积锻炼法能改善社区脑卒中偏瘫病人残障肢体的功能 ,提高他们的生活质量 ,与被动、随意的锻炼有显著的差异。

Objective To explore the differences of recovery from hemiplegia between active gradual accumulation exercise and passive aimless exercise.Methods 92 cases were randomly divided into two groups:44 cases of control group(passive exercise with integrated treatment) and 48 cases of treatment group(active gradual accumulation exercise with integrated treatment).The recovery effective ratio in two groups was compared and evaluated on the basis of Brunnstrom Hemiplegia Function Classification after treatment. Results According to Brunnstrom Hemiplegia Function Classification, the recovery effective ratio in treatment group was 45 8%,and that in control group was 22 7%,χ 2=5 403,P<0 025.Conclusion The active gradual accumulation exercise is able to enhance organism function greatly and improve patient's living quality.