医疗体操对脑卒中肢体运动功能的影响

Effects of therapeutic exercise on motor funtion of hemiplegic patients

目的 :观察以神经肌肉促通技术为理论基础的医疗体操对脑卒中患者运动功能的影响。方法 :脑卒中偏瘫患者 94例 ,分成早期体操组、后期体操组、对照组。分别于发病一个月内、一个月后按医疗体操编排的动作进行训练 ,采用Fugl Meger评价法评定肢体运动功能、上肢关节疼痛、关节活动度。结果 :1.体操组肢体运动功能治疗后较治疗前改善 ,早期体操组较对照组改善明显 (P <0 .0 0 1)。 2 .早期体操组关节疼痛发生程度较对照组减轻 (P <0 .0 1)。 3、关节活动度受限的发生较对照组明显减少 (P <0 .0 0 1) ,对关节活动度已受限的患者有明显的扩大作用 (P<0 .0 0 1)。结论 :医疗体操能有效地维持和扩大关节活动度 ,提高肢体运动功能 ,对关节疼痛有一定的防治作用。

Objective: To observe the effects of the therapeutic exercise for hemiplegic patients. Method: 94 cases of hemiplegia after stroke were divided into three groups: exercise A (trained in 30days), exercise B(trained in more then 30days) and the control group. Motor functions ,upper extremity Rom(range of motion) and arthrodynia were measured by the Fugl-Meyer assessment. Results:1. Motor function after treatment were improved significantly as compared with those of before treatment,and compared with the control group, exercise A showed significant difference( P <0.001).2. The arthrodynia degree and occurrenc of the limited Rom were decreased significantly as compared with the control group( P <0.01), the therapeutic exercise can amplify the limited Rom ( P <0.001).Conclusion:Therapeutic exercise can improve motor function, maintain and amplify Rom utilily, prevent and cure arthrodynia to a certain extent. It is applied to the rehabilitation of all hemiplegic patients.