早期康复对急性脑卒中ADL的促进作用

The improving effect of early rehabilitation on ADL in hemiplegics after stroke

目的探讨早期康复治疗对急性脑卒中偏瘫患者上、下肢运动功能和日常生活活动能力的影响。方法选择急性脑卒中偏瘫患者 96例 ,随机分为康复组和对照组 (每组 48例 )。用前瞻性研究方法对两组进行比较分析。康复组在给予药物治疗的同时 ,还进行正规的康复训练 ;对照组仅给予药物治疗。分别于入选治疗前 2 4h和治疗后 6 8周进行测评。采用Brunnstrom分级法评定运动功能 ,采用Barthel指数评定日常生活活动能力 (ADL)。结果经 6 8周治疗后 ,两组在Barthel指数和Brunnstrom分级上均有一定程度的改善 ,康复组的改善幅度明显优于对照组 (P<0 .0 1)。结论急性脑卒中偏瘫患者接受早期康复治疗 ,能明显改善肢体运动功能 。

Objective To study the effect of early rehabilitation on motor function of upper and lower extremities and activities of daily living(ADL) in hemiplegics after stroke.Methods96 patients were randomly divided into two groups, rehabilitation group(48 cases) and control group(48 cases). Prospective method was used in this study. Patients in the rehabilitation group were given clinical treatment and regularly rehabilitation training, while those in control group were given clinical treatment and unguided self training, and the evaluation was done in pre treatment and post treatment(6~8 weeks) respectively. Motor function was assessed in Brunnstrom Grade, ADL assessed in Barthel Index. Results The motor scores (measured by Brunnstrom criteria) and ADL scores (measured by Barthel Index) in the two groups rised after 6~8 weeks treatment, but there was a significant difference between the two groups,i.e., the scores in the rehabilitation group were obviously superior to those in the control group (P<0.01). ConclusionEarly rehabilitation training on hemiplegics after stroke may obviously improve motor function of the limbs and rise ADL scores.