双侧运动训练对脑卒中恢复期上肢运动功能障碍的疗效

Effect of Bilateral Movement Training on Upper Extremity Dysfunction after Stroke

目的探讨双侧运动训练对脑卒中恢复期偏瘫患者上肢运动功能障碍的治疗效果。方法 52例偏瘫患者随机分成治疗组(n=26)和对照组(n=26)。治疗组采用双侧运动疗法,对照组采用传统神经发育法训练患侧上肢,共治疗6周。分别于治疗前后采用Fugl-Meyer评定的上肢部分(FMA-UE)和改良Barthel指数(MBI)进行评定。结果两组治疗后,FMA-UE、MBI评分均较治疗前明显改善(P<0.01),治疗后治疗组FMA-UE、MBI评分显著高于对照组(P<0.001)。结论双侧运动训练能显著提高脑卒中恢复期偏瘫患者的上肢运动功能及日常生活活动能力。

Objective To observe the effect of bilateral movement training on upper extremities dysfunction in stroke patients in conva-lescent phase. Methods 52 patients with hemiplegia were randomly divided into treatment group （n=26） and control group （n=26）. The treat-ment group accepted bilateral upper extremities movement training, and the control group accepted routine neurodevelopment training main-ly with affected upper extremities, for 6 weeks. They were assessed with Fugl-Meyer Assessment upper-extremity section （FMA-UE） and modified Barthel Index （MBI） before and after treatment. Results The FMA-UE and MBI scores improved in both groups after treatment （P〈0.01）, and improved more in the treatment group than in the control group （P〈0.001）. Conclusion Bilateral movement training may im-prove upper extremity function and activities of daily living more effectively for stroke patients in convalescent phase.