早期康复治疗对脑卒中偏瘫患者运动功能及日常生活能力的影响

Effects of Early Rehabilitation Training on Motor Functions of Upper and Lower Extremities and Activities of Daily Living in Patients with Hemiplegia After Stroke

目的 :观察早期康复治疗对脑卒中后运动功能和日常生活能力的影响。方法 :6 0例脑卒中患者随机分为康复组4 0人 ,对照组 2 0人 ,康复组在临床药物治疗的同时进行正规的康复训练 ,对照组给予临床药物治疗及进行末经任何指导的自行锻炼。运动功能采用FUGL -MEYER运动功能评分法 (FMA)测评 ,日常生活能力用BARTHEL指数评分。结果 :经 90d治疗后 ,BARTHEL指数及FMA评分均有明显程度改善 ,康复组显著优于对照组 (P <0 .0 0 1)。结论 :早期康复治疗可以促进脑卒中患者的运动功能和日常生活活动能力的恢复 ,提高临床疗效。

Objective: To explore the effects of early rehabilitation training on motor functions of upper and lower extremities and activities of daily living (ADL) in patients with hemiplegia after stroke. Methods: 60 patients were randomly divided into two groups. 40 cases in the rehabilitation group and 20 cases in the control group. Patients in the rehabilitation group were given clinical treatment and regular rehabilitation training; while those in control group were given clinical treatment and unguided self training. Motor function was assessed by FUGL MEYER assessment (FMA), ADL assessed by BARTHEL Index.Results: The ADL scores (measured by BARTHEL index) and the motor scores (measured by FMA) in the two groups increased after 90 days of treatment, but there was a significant difference between the two groups. The scores of the rehabilitation group were obviously higher than those of the control group (P<0.001). Conclusion: Early rehabilitation training of the patients with stroke hemiplegia may obviously improve the motor function of the limbs and raise ADL scores.