运动再学习方案对脑卒中偏瘫患者手与腕运动功能的影响

Motor relearning program promotes hand and wrist motor function recovery in hemiplegic stroke patients

目的探讨运动再学习方案(motor relearning programme,MRP)对脑卒中偏瘫患者手和腕运动功能和日常生活能力(activity of daily living,ADL)的影响。方法本研究采用随机病例对照研究方法。65例脑卒中偏瘫患者随机分为对照组:常规康复干预(32例)和治疗组:MRP(33例)。每组患者入选时和治疗12周后,分别用Fugl-Meyer运动功能评分法(Fugl-Meyer assessment,FMA)和改良巴氏指数(MBI)评定患者手和腕运动功能和ADL。结果同组间治疗前后比较,FMA和MBI均有明显改善,具有统计学意义(P<0.05),治疗后治疗组的FMA和MBI值比对照组差异显著升高(P<0.05)。结论 MRP可明显地促进脑卒中偏瘫患者手和腕运动功能和日常生活能力。

Objective To assess the effects of motor relearning program on hand and wrist motor function and activity of daily living（ADL） in hemiplegic stroke patients.Methods Sixty hemiplegic stroke patients,who underwent routine rehabilitation training,were randomly assigned to receive motor relearning program（therapy group,n = 33） or no motor relearning program（control group,n = 32）.All patients were evaluated with Fugl-Meyer assessment（FMA） and Modified Bathel Index（MBI）before and after 12 week-treatment.Results The scores of FMA and MBI 12 weeks after treatment were significantly increased in both groups compared with before treatment（P 0.05）.The scores of FMA and MBI in therapy group were increased more markedly than those in control group（P 0.05）.Conclusion Motor relearning program significantly improves the hand and wrist motor function and ADL in hemiplegic stroke patients.