脑卒中偏瘫患者早期康复对下肢运动功能的影响

Effects of early rehabilitation on lower extremity motor function in stroke hemiplegia

目的探讨早期康复对脑卒中偏瘫患者下肢运动功能的影响。方法将78例急性脑卒中偏瘫患者随机分为康复组(40例)、对照组(38例)进行临床对照性研究,两组均进行常规神经内科治疗,康复组同时加入以运动疗法为主的综合康复治疗,平均疗程38d。治疗前后分别以Brunnstrom法评价运动功能,以三级平衡评价评定平衡功能,以Barthel指数法评定ADL能力。结果康复组在下肢运动功能、平衡功能方面治疗后显著改善,与对照组相比有显著差异(P<0.05)。Barthel指数治疗后康复组为68.5±17.2,对照组为45.8±18.3,两组相比,P<0.05,有显著差异。结论早期介入康复治疗可明显改善患者的下肢运动功能和ADL能力。

Objective To emphasis the effects of early rehabilitation on lower extremity motor function in stroke hemiplegia.Method 78 patients were randomly divided into two groups.rehabilitation group (40cases) and control group (38 cases).Patients in the rehabilitation group were given clinical treatment and regularly physical therapy,while those in control group were only given clinical treatment control treatment time were 38 days.Motor function,balance function and Barthel index of all patients were assessed before and after rehabilitation.Result For the rehabilitation group,the lower extremity motor function and balance function were improved obviously after treatment.there was obvious difference between the rehabilitation group and control group(P< 0.05).Barthel index were 68.5±17.2 in rehabilitation group and 45.8±18.3 in control group.there was obvious difference between the two groups too(P< 0.05).Conclusion Early rehabilitation treatment largely improved lower extremity motor function and AOL of patients with hemiplegia.